Individual provider · Type 1 NPI

Amanda Nicole Larue, PTA

Physical Therapy Assistant · Boca Raton, FL

NPI number 1114159100 Active

Practice location

5901 Broken Sound Pkwy Ste 500
Boca Raton, FL 33487-2791

Call (800) 875-8999 Map

Mailing address

1055 25th St NE
Hickory, NC 28601-3029

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3719 (NC)
Physical Therapy Assistant 225200000X2070555 (TX)

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 1114159100

Amanda Nicole Larue, PTA's National Provider Identifier is 1114159100, issued on Aug 10, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Boca Raton, FL. The record was last updated on Aug 10, 2009.