Individual provider · Type 1 NPI
Jeremy Alan Willard, PTA
Physical Therapy Assistant · Norwood, NY
Practice location
St. Lawrence Ntsarc Inc, 63 1-2 B South Main Street
Norwood, NY 13668
Mailing address
50 West Parishville Rd
Potsdam, NY 13676
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 0055051 (NY) |
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 …
About NPI 1124190327
Jeremy Alan Willard, PTA's National Provider Identifier is 1124190327, issued on Nov 14, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Norwood, NY. The record was last updated on Jul 8, 2007.