Individual provider · Type 1 NPI

Clinton Kincannon

Physical Therapy Assistant · Oxford, FL

NPI number 1134925829 Active

Practice location

12120 County Road 103
Oxford, FL 34484-2987

Call (352) 571-5554 Map

Mailing address

PO Box 61
Oxford, FL 34484-0061

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA29228 (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 1134925829

Clinton Kincannon's National Provider Identifier is 1134925829, issued on Feb 22, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Oxford, FL. The record was last updated on Feb 22, 2025.