SearchIndianaPhysical Therapy Assistant

Jay Icasiano

NPI 1255904728 · on the registry since 2021 · sole proprietor

Practice

Address
1955 Vernon St
Wabash, IN 46992
Phone
(260) 563-8438
Organisation at this address
Putnam County Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana