Lucas Gustilo in Milwaukie - Physical Therapy Assistant

Lucas Gustilo - NPI 1245487206

Lucas Gustilo is a Physical Therapy Assistant in Milwaukie, Oregon. Lucas Gustilo practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Lucas Gustilo is 1245487206. The last update date is 2008-08-21.

Lucas Gustilo's current location address is 4560 Se International Way, Milwaukie, Oregon. You can contact this provider via phone number 9712065200 and fax number 9712065209. The mailing address for Lucas Gustilo is 4560 Se International Way, Milwaukie, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Lucas Gustilo
Address 4560 Se International Way, Milwaukie, Oregon
Phone Number 9712065200
Fax Number 9712065209
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1245487206
Provider Enumeration Date 2008-08-21
Last Updated Date 2008-08-21

Provider Mailing Address Detail

Address 4560 Se International Way
City Milwaukie
State Oregon (OR)
Post Code 97222
Phone Number 9712065200
Fax Number 9712065209

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No A0306
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Lucas Gustilo

What is the unique 10-digit identification code assigned to Lucas Gustilo by the Centers for Medicare & Medicaid Services?

The Lucas Gustilo has been issued the NPI (National Provider Identifier) 1245487206, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Lucas Gustilo is geographically located?

The Lucas Gustilo is physically situated at the following location: 4560 Se International Way, Milwaukie, OR, 97222.

What is the area of specialization for Lucas Gustilo, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lucas Gustilo is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 225200000X.

On what date did the Lucas Gustilo receive the assignment of its 1245487206 from the Centers for Medicare & Medicaid Services?

The Lucas Gustilo was issued its 1245487206 by the Centers for Medicare & Medicaid Services on 2008-08-21.

When was the information related to Lucas Gustilo most recently updated or refreshed?

The details pertaining to the Lucas Gustilo, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-21.

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