Individual provider · Type 1 NPI

Carly Moreau

Physical Therapy Assistant · Summit, MS

NPI number 1114220993 Active

Practice location

4109 Highway 98 W
Summit, MS 39666-9132

Call (601) 276-3900 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2075580 (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 1114220993

Carly Moreau's National Provider Identifier is 1114220993, issued on Dec 16, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Summit, MS. The record was last updated on Dec 16, 2010.