SearchCaliforniaPhysical Therapy Assistant

Edsel Icmat

NPI 1285425876 · on the registry since 2025 · sole proprietor

Practice

Address
10063 Winkle Cir
Elk Grove, CA 95757
Phone
(510) 387-5178

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-14

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 California