MR. Roy G Icasiano, P.T.

NPI #1821287319 in Montrose, Colorado

Provider Information

NPI Number
1821287319
Entity Type
Individual
Name
MR. Roy G Icasiano, P.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
P.T.
Enumeration Date
Oct 19, 2007
Last Updated
Oct 19, 2007

Practice Location

Address
2788 STONEY CREEK LN
ZIP Code
81401-5288
Phone
(970) 240-0500

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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