Individual provider · Type 1 NPI

Socheathdara Sam

Physical Therapy Assistant · Arlington, VA

NPI number 1063166692 Active

Practice location

4040 Fairfax Dr Ste 120
Arlington, VA 22203-1613

Call (571) 777-0918 Map

Mailing address

3544 Gallows Rd
Annandale, VA 22003-1450

Other practice locations

  • 6355 Walker Ln Ste 512, Alexandria, VA 22310-3251 · (635) 551-2223

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306606194 (VA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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 1063166692

Socheathdara Sam's National Provider Identifier is 1063166692, issued on Feb 11, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Arlington, VA. The record was last updated on Dec 27, 2023.