Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAY SANVICTORES ICASIANO
Active Sole ProprietorJAY SANVICTORES ICASIANO is a Occupational Therapist healthcare provider located in WABASH, Indiana. NPI 1255904728 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WABASH, IN
Registration Details
- NPI Number
- 1255904728
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2021 (5.0399944039977 yrs)
- Last Updated
- Jul 21, 2021
- License
-
06006321 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1955 VERNON STWABASH, IN, 469924026Browse IN providers · Browse ZIP 46992
- Phone
- 2605638438
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in WABASH, IN
| Name | Credential | NPI |
|---|---|---|
| STEFANIE KNOTE | — | 1184932436 |
| MR. JACOB BOWEN | PTA | 1346659752 |
| MONICA WATKINS | — | 1194127084 |
| MITCH PADFIELD | PTA, MBA | 1649983982 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.