Individual provider · Type 1 NPI

Derek Wallace Walter, PTA

Physical Therapy Assistant · Syracuse, NY

NPI number 1235469925 Active

Practice location

1603 Court St
Syracuse, NY 13208-1834

Call (315) 455-7591 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

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 1235469925

Derek Wallace Walter, PTA's National Provider Identifier is 1235469925, issued on Jan 4, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Syracuse, NY. The record was last updated on Jan 4, 2010.