Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Junne Licata

Individual provider Physical Therapy Assistant · NPI 1295386639

Junne Licata is a Physical Therapy Assistant in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019

Practice location Address checks out

1200 Mira Mar Ave
Medford, OR 97504-8546
Phone: (541) 857-7131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 09803 (OR)

Record details

NPI number1295386639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2019
Last updated in NPPESSeptember 26, 2019
Mailing address4560 Se International Way Ste 100, Milwaukie, OR 97222-4628

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