Individual provider · Type 1 NPI

Alia J. Wantuch, PTA

Physical Therapy Assistant · Port Orange, FL

NPI number 1164026902 Active

Practice location

4606 Clyde Morris Blvd Ste 1D
Port Orange, FL 32129-7453

Mailing address

1820 Creekwater Blvd
Port Orange, FL 32128-4088

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA30714 (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 1164026902

Alia J. Wantuch, PTA's National Provider Identifier is 1164026902, issued on Nov 23, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Port Orange, FL. The record was last updated on Nov 23, 2020.