in Lexington - Physical Therapy Assistant

- NPI 1366651812

is a Physical Therapy Assistant in Lexington, Massachusetts. practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for is 1366651812. The last update date is .

's current location address is 64 Grant, Lexington, Massachusetts. You can contact this provider via phone number 7818610810. The mailing address for is 64 Grant, Lexington, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 64 Grant, Lexington, Massachusetts
Phone Number 7818610810
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1366651812
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 64 Grant
City Lexington
State Massachusetts (MA)
Post Code 2420
Phone Number 7818610810
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 674
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
674 MA PTA

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