Individual provider · Type 1 NPI

Karen Vickery

Physical Therapy Assistant · Port Orange, FL

NPI number 1093080681 Active

Practice location

5535 S Williamson Blvd, Ste 774
Port Orange, FL 32128-8311

Mailing address

507 New Mexico Ave
Las Vegas, NM 87701-3238

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA-340 (NM)

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 1093080681

Karen Vickery's National Provider Identifier is 1093080681, issued on Mar 14, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Port Orange, FL. The record was last updated on Mar 14, 2012.