Individual provider · Type 1 NPI

Melissa Lyn Vickers, PT

Pediatric Physical Therapist · Palos Heights, IL

NPI number 1912041740 Active

Practice location

11824 Southwest Hwy, Ste 230
Palos Heights, IL 60463-1055

Call (708) 671-1175 Map

Fax (708) 671-1176

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X070014165 (IL)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1912041740

Melissa Lyn Vickers, PT's National Provider Identifier is 1912041740, issued on Feb 16, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Palos Heights, IL. The record was last updated on Sep 25, 2008.