Individual provider · Type 1 NPI

Melissa Catherine Iwanicki, PT

Pediatric Physical Therapist · North Aurora, IL

NPI number 1124593959 Active

Practice location

66 Miller Dr
North Aurora, IL 60542-5143

Mailing address

66 Miller Dr Ste 102
North Aurora, IL 60542-5144

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X070.011765 (IL)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1124593959

Melissa Catherine Iwanicki, PT's National Provider Identifier is 1124593959, issued on Oct 8, 2018. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in North Aurora, IL. The record was last updated on Oct 8, 2018.