Individual provider · Type 1 NPI

Robert William Willis, P.T.A.

Physical Therapy Assistant · Laurel, MD

NPI number 1023399516 Active

Practice location

14502 Greenview Dr, Suite 408
Laurel, MD 20708-3287

Mailing address

4740 Everlea Ct
Preston, MD 21655-1569

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA3634 (MD)

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 1023399516

Robert William Willis, P.T.A.'s National Provider Identifier is 1023399516, issued on Aug 29, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Laurel, MD. The record was last updated on Aug 29, 2011.