Individual provider · Type 1 NPI

Cole Jordan Wilsie, PTA

Physical Therapy Assistant · Fountain Valley, CA

NPI number 1043896889 Active

Practice location

18785 Brookhurst St Ste 104
Fountain Valley, CA 92708-7300

Call (657) 301-4967 Map

Mailing address

2437 N Park Blvd
Santa Ana, CA 92706-1610

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X51134 (CA)

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 1043896889

Cole Jordan Wilsie, PTA's National Provider Identifier is 1043896889, issued on Mar 22, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fountain Valley, CA. The record was last updated on Mar 22, 2021.