Individual provider · Type 1 NPI

Sophia Antonia Blue, LPTA

Physical Therapy Assistant · Austell, GA

NPI number 1124502679 Active

Practice location

2130 Anderson Mill Rd
Austell, GA 30106-1806

Call (770) 941-8813 Map

Mailing address

4291 W Linda Dr
Douglasville, GA 30134-2617

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X001390 (GA)

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 1124502679

Sophia Antonia Blue, LPTA's National Provider Identifier is 1124502679, issued on Sep 20, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Austell, GA. The record was last updated on Sep 20, 2018.