Individual provider · Type 1 NPI

Shannon Wilcken, PTA

Physical Therapy Assistant · Venice, FL

NPI number 1467681304 Active

Practice location

3849 Woodmere Park Blvd Apt 6
Venice, FL 34293-5285

Call (863) 214-4333 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA21276 (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 1467681304

Shannon Wilcken, PTA's National Provider Identifier is 1467681304, issued on Jul 14, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Venice, FL. The record was last updated on Jul 14, 2009.