Tamara L Ickes
Physical Therapy Assistant
339 E Maple St
North Canton
, Ohio 44720-2593
Tamara L Ickes
Physical Therapy Assistant
339 E Maple St
North Canton
, Ohio 44720-2593
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Tamara L Ickes
- 339 E Maple St
- North Canton, OH
- Zip : 44720-2593
- Phone :
Second Address
- Tamara L Ickes
- 339 E Maple St
- North Canton, OH
- Zip : 44720-2593
- Phone : (330) 498-8200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA. 07281 | OH |
National Provider Identifier
| NPI | 1003173881 |
|---|---|
| Provider Name | Tamara L Ickes |
| First Address | North Canton, OH 44720-2593 |
| Second Address | North Canton, OH 44720-2593 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2012 |
| Last Update Date | 18/04/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.