Individual provider · Type 1 NPI

Ivanova Guillen, PTA

Physical Therapy Assistant · San Diego, CA

NPI number 1003206970 Active

Practice location

9089 Clairemont Mesa Blvd, Suite 200
San Diego, CA 92123-1234

Call (800) 787-6787 Map

Mailing address

3541 Valley Rd Apt 3
Bonita, CA 91902-4161

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XAT10270 (CA)

Physical Therapy Assistant: (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 Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1003206970

Ivanova Guillen, PTA's National Provider Identifier is 1003206970, issued on Jan 30, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Diego, CA. The record was last updated on Jan 30, 2015.