Individual provider · Type 1 NPI

Kenneth Panganiban, PTA

Physical Therapy Assistant · Ponte Vedra Beach, FL

NPI number 1124418934 Active

Practice location

232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082-6600

Call (904) 634-0640 Map

Fax (904) 634-0203

Mailing address

10270 Stallion Run Court
Jacksonville, FL 32257

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMA59111 (FL)
Physical Therapy Assistant Primary 225200000XPTA25367 (FL)

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 1124418934

Kenneth Panganiban, PTA's National Provider Identifier is 1124418934, issued on Feb 1, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Aug 11, 2017.