Individual provider · Type 1 NPI

Johanns Mauricio Gammel, PTA

Physical Therapy Assistant · Glen Rock, NJ

NPI number 1003988932 Active

Practice location

251 Rock Rd
Glen Rock, NJ 07452-1745

Mailing address

52 Andover Ter
Glen Rock, NJ 07452-3719

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X40QB00260000 (NJ)

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 1003988932

Johanns Mauricio Gammel, PTA's National Provider Identifier is 1003988932, issued on Nov 15, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Glen Rock, NJ. The record was last updated on Apr 12, 2012.