Individual provider · Type 1 NPI
Jose Ichiro Manabat, P.T.A
Physical Therapy Assistant · Yucaipa, CA
Practice location
11940 Greenbluff Way
Yucaipa, CA 92399-3476
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 225200000X (CA) |
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 1104266766
Jose Ichiro Manabat, P.T.A's National Provider Identifier is 1104266766, issued on Jun 27, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Yucaipa, CA. The record was last updated on Nov 23, 2013.