Individual provider · Type 1 NPI

Ildefonso Carrera, PTA

Physical Therapy Assistant · El Paso, TX

NPI number 1124607825 Active

Practice location

10188 Socorro Rd
El Paso, TX 79927-2322

Fax (915) 440-3148

Mailing address

230 Pvt Juan Garcia Rd
Socorro, TX 79927-1323

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2097261 (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 1124607825

Ildefonso Carrera, PTA's National Provider Identifier is 1124607825, issued on Apr 8, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in El Paso, TX. The record was last updated on Apr 8, 2021.