Individual provider · Type 1 NPI

Charles Mahlon Tucker, PTA

Physical Therapy Assistant · Altamonte Springs, FL

NPI number 1043853278 Active

Practice location

112 W Citrus St
Altamonte Springs, FL 32714-2502

Mailing address

623 N Hyer Ave
Orlando, FL 32803-4629

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA29584 (FL)

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 1043853278

Charles Mahlon Tucker, PTA's National Provider Identifier is 1043853278, issued on Oct 21, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Altamonte Springs, FL. The record was last updated on Nov 27, 2023.