Individual provider · Type 1 NPI

Wanda Lisa Crunkleton, PTA

Physical Therapy Assistant · Wilson, NC

NPI number 1093298804 Active

Practice location

1705 Tarboro St SW
Wilson, NC 27893-3428

Mailing address

274 Watery Branch Church Rd
Stantonsburg, NC 27883-9179

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X604 (NC)

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 1093298804

Wanda Lisa Crunkleton, PTA's National Provider Identifier is 1093298804, issued on Sep 8, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Wilson, NC. The record was last updated on Sep 8, 2018.