Individual provider · Type 1 NPI

Carolyn Joyce Douglas, PTA

Physical Therapy Assistant · San Leandro, CA

NPI number 1164633301 Active

Practice location

1440 168th Ave
San Leandro, CA 94578-2409

Call (510) 481-8575 Map

Mailing address

3317 Wyman St
Oakland, CA 94619-3454

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XAT6243 (CA)

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 1164633301

Carolyn Joyce Douglas, PTA's National Provider Identifier is 1164633301, issued on May 26, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Leandro, CA. The record was last updated on Jul 8, 2007.