Individual provider · Type 1 NPI

Pamela R. Kanicki, PTA

Physical Therapy Assistant · Jamestown, NY

NPI number 1669749768 Active

Practice location

774 Fairmount Ave
Jamestown, NY 14701-2609

Call (716) 338-0668 Map

Fax (866) 694-4979

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X007966-1 (NY)

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 1669749768

Pamela R. Kanicki, PTA's National Provider Identifier is 1669749768, issued on Nov 18, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jamestown, NY. The record was last updated on Jan 10, 2014.