SearchFloridaOther Specialist/Technologist

Diana Ickes, PTA

NPI 1669923496 · on the registry since 2016

Practice

Address
11458 Captiva Kay Dr
Riverview, FL 33569
Phone
(941) 812-8159

Registry record

Primary taxonomy
Other Specialist/Technologist
246Z00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-10-17

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 Florida