Individual provider · Type 1 NPI

Lucas Gustilo

Physical Therapy Assistant · Milwaukie, OR

NPI number 1245487206 Active

Practice location

4560 SE International Way, Suite 100 Consonus Healthcare Services
Milwaukie, OR 97222

Call (971) 206-5200 Map

Fax (971) 206-5209

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA0306 (NV)

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 1245487206

Lucas Gustilo's National Provider Identifier is 1245487206, issued on Aug 21, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Milwaukie, OR. The record was last updated on Aug 21, 2008.