Individual provider · Type 1 NPI

Bryan Fedor, PTA

Physical Therapy Assistant · Beaumont, TX

NPI number 1073026258 Active

Practice location

3817 Stagg Dr
Beaumont, TX 77701-3717

Call (409) 866-0856 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2133910 (TX)

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 1073026258

Bryan Fedor, PTA's National Provider Identifier is 1073026258, issued on Nov 10, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Beaumont, TX. The record was last updated on Nov 10, 2017.