Individual provider · Type 1 NPI

Vitaliy Kostyukov

Physical Therapy Assistant · Lansdale, PA

NPI number 1235690314 Active

Practice location

660 N Broad St
Lansdale, PA 19446-2361

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XTE011703 (PA)

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 1235690314

Vitaliy Kostyukov's National Provider Identifier is 1235690314, issued on Mar 29, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lansdale, PA. The record was last updated on Mar 29, 2019.