Individual provider · Type 1 NPI

Roman Mazurov

Physical Therapy Assistant · Lyndhurst, NJ

NPI number 1114630167 Active

Practice location

70 Ridge Rd
Lyndhurst, NJ 07071-1216

Call (201) 992-0183 Map

Mailing address

576 Broadhollow Rd
Melville, NY 11747-5002

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

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 1114630167

Roman Mazurov's National Provider Identifier is 1114630167, issued on Jan 4, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lyndhurst, NJ. The record was last updated on Jan 4, 2023.