Tamara L Ickes, LPTA

NPI #1003173881 in North Canton, Ohio

Provider Information

NPI Number: 1003173881
Entity Type: Individual
Name: Tamara L Ickes, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Apr 18, 2012
Last Updated: Apr 18, 2012

Practice Location

Address: 339 E MAPLE ST
City: North Canton
State: Ohio
ZIP Code: 44720-2593
Phone: (330) 498-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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