Individual provider · Type 1 NPI

Johnnie L. Puccio, PTA, LMT

Physical Therapy Assistant · West Melbourne, FL

NPI number 1083906366 Active

Practice location

2129 W New Haven Ave
West Melbourne, FL 32904-3875

Call (321) 723-8299 Map

Mailing address

2560 Quarry Ave SE
Palm Bay, FL 32909-7270

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA19316 (FL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1083906366

Johnnie L. Puccio, PTA, LMT's National Provider Identifier is 1083906366, issued on May 5, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in West Melbourne, FL. The record was last updated on May 5, 2011.