Individual provider · Type 1 NPI

Bret J. Bacciocco

Physical Therapy Assistant · Sherman Oaks, CA

NPI number 1114071990 Active

Practice location

5000 Van Nuys Blvd Ste 314
Sherman Oaks, CA 91403-1852

Fax (818) 783-2467

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XAT4252 (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 1114071990

Bret J. Bacciocco's National Provider Identifier is 1114071990, issued on Jan 22, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sherman Oaks, CA. The record was last updated on Sep 28, 2011.