Individual provider · Type 1 NPI

Antonia M. Favacho, PTA

Physical Therapy Assistant · Clearwater, FL

NPI number 1083980767 Active

Practice location

430 Morton Plant St
Clearwater, FL 33756-3398

Call (727) 841-8384 Map

Fax (727) 461-8206

Mailing address

430 Morton Plant Street
Clearwater, FL 33756-0000

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X21770 (FL)

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 1083980767

Antonia M. Favacho, PTA's National Provider Identifier is 1083980767, issued on Mar 28, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Clearwater, FL. The record was last updated on Mar 28, 2012.