Individual provider · Type 1 NPI

Jay Sanvictores Icasiano

Physical Therapy Assistant · Wabash, IN

NPI number 1255904728 Active

Practice location

1955 Vernon St
Wabash, IN 46992-4026

Mailing address

866 Signature St Apt B
Bourbonnais, IL 60914-9216

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06006321 (IN)

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 1255904728

Jay Sanvictores Icasiano's National Provider Identifier is 1255904728, issued on Jul 21, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Wabash, IN. The record was last updated on Jul 21, 2021.