Doctor Name: | MS. PATTY C LICATA |
NPI Number: | 1780624734 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT 13460 |
Business Practice Address: | 1565 Saxon Blvd Suite 301 Deltona, FL - 327255876 |
Business Phone Number: | 3868510901 |
Business Fax Number: | 3868512426 |
Mailing Address: | 1565 Saxon Blvd, Suite 301 DELTONA |
State: | FL |
Postal Code: | 327255876 |
Phone Number: | 3868510901 |
Fax Number: | 3868512426 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 07/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 13460 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |