Individual provider · Type 1 NPI

Evan Queen, PTA

Physical Therapy Assistant · Sumter, SC

NPI number 1023365947 Active

Practice location

2825 Carter Rd
Sumter, SC 29150-1712

Mailing address

14 Riley St
Sumter, SC 29150-4717

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X837 (SC)

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 1023365947

Evan Queen, PTA's National Provider Identifier is 1023365947, issued on Aug 9, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sumter, SC. The record was last updated on Aug 9, 2012.