Individual provider · Type 1 NPI

Samantha Percich

Orthopedic Physical Therapist · Glen Carbon, IL

NPI number 1639623911 Active

Practice location

4280 S State Route 159
Glen Carbon, IL 62034-3269

Mailing address

15 Apex Dr
Highland, IL 62249-1282

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800X2016027389 (MO)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1639623911

Samantha Percich's National Provider Identifier is 1639623911, issued on Aug 4, 2016. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Glen Carbon, IL. The record was last updated on Oct 12, 2018.