Individual provider · Type 1 NPI

Jonathan Phuong

Physical Therapy Assistant · Lake Ridge, VA

NPI number 1073383600 Active

Practice location

12825 Minnieville Rd Ste 201
Lake Ridge, VA 22192-3602

Mailing address

6654 Rock Island Rd Apt 100
Springfield, VA 22150-1974

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306605924 (VA)

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 1073383600

Jonathan Phuong's National Provider Identifier is 1073383600, issued on Jan 4, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lake Ridge, VA. The record was last updated on Jan 4, 2024.