Individual provider · Type 1 NPI

Junne Licata

Physical Therapy Assistant · Medford, OR

NPI number 1295386639 Active

Practice location

1200 Mira Mar Ave
Medford, OR 97504-8546

Call (541) 857-7131 Map

Mailing address

4560 SE International Way Ste 100
Milwaukie, OR 97222-4628

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X09803 (OR)

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 1295386639

Junne Licata's National Provider Identifier is 1295386639, issued on Sep 26, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Medford, OR. The record was last updated on Sep 26, 2019.