Individual provider · Type 1 NPI

Vicente O. Enciso Iii

Physical Therapy Assistant · Glendale, AZ

NPI number 1659708287 Active

Practice location

8611 N 67th Ave
Glendale, AZ 85302-4351

Mailing address

11721 W Jefferson St
Avondale, AZ 85323-1195

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5589A (AZ)

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 1659708287

Vicente O. Enciso Iii's National Provider Identifier is 1659708287, issued on Sep 27, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Glendale, AZ. The record was last updated on Sep 27, 2013.