Individual provider · Type 1 NPI

Matthew Scott Mazara, PTA

Physical Therapy Assistant · Diberville, MS

NPI number 1053787689 Active

Practice location

10470 Diberville Blvd
Diberville, MS 39540-2419

Fax (228) 280-8121

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5837 (MS)

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 1053787689

Matthew Scott Mazara, PTA's National Provider Identifier is 1053787689, issued on Aug 18, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Diberville, MS. The record was last updated on Aug 18, 2015.