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Ms. Patty C Licata, PT
Orthopedic Physical Therapist in Deltona, Florida
NPI 1780624734

Patty C Licata is a Orthopedic Physical Therapist based in Lake Mary, FL and is specialized in Orthopedic. Patty C Licata practices in Deltona, FL and has the professional credentials of PT. The NPI Number for Patty C Licata is 1780624734 and holds a License No. PT13460 (Florida).

The current practice location address for Patty C Licata is 1565 Saxon Blvd, Deltona, FL and can be reached out via phone at 386-851-0901 and via fax at 386-851-2426.

Location: 1565 Saxon Blvd, Deltona, FL, 32746-4871
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780624734
Provider Name
Patty C Licata
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
1565 Saxon Blvd, Deltona, FL, 32746-4871
Phone Number
386-851-0901
Fax Number
386-851-2426
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y094Q 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1565 Saxon Blvd
City
Deltona
State
Florida
Zip
32725-5876
Phone Number
386-851-0901
Fax Number
386-851-2426
person
Provider Business Mailing Address Details
Address
1565 Saxon Blvd
City
Deltona
State
Florida
Zip
32725-5876
Phone Number
386-851-0901
Fax Number
386-851-2426
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
PT13460 (Florida)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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