Individual provider · Type 1 NPI

Brent Alan Willard, LPTA

Physical Therapy Assistant · Winston Salem, NC

NPI number 1104033133 Active

Practice location

901 Bethesda Rd
Winston Salem, NC 27103-3015

Call (336) 768-2211 Map

Mailing address

5133 River Chase Rdg
Winston Salem, NC 27104-4470

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X876 (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 1104033133

Brent Alan Willard, LPTA's National Provider Identifier is 1104033133, issued on May 17, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Winston Salem, NC. The record was last updated on Jul 8, 2007.