Individual provider · Type 1 NPI

Nicole Summerlin, PTA

Physical Therapy Assistant · Jacksonville, NC

NPI number 1043473648 Active

Practice location

225 White St
Jacksonville, NC 28546-6351

Mailing address

387 Stokes Gooding Road
Kenansville, NC 28349

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2919 (NC)

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 1043473648

Nicole Summerlin, PTA's National Provider Identifier is 1043473648, issued on Jul 3, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jacksonville, NC. The record was last updated on Jul 3, 2008.