Individual provider · Type 1 NPI

Kathryn Elizabeth Canyon, PTA

Physical Therapy Assistant · Fairfax, VA

NPI number 1245593029 Active

Practice location

4001 Fair Ridge Dr, Suite 203
Fairfax, VA 22033-2917

Fax (703) 865-7683

Mailing address

11084 Wainwright Pl
Manassas, VA 20109-8274

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306602837 (VA)

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 1245593029

Kathryn Elizabeth Canyon, PTA's National Provider Identifier is 1245593029, issued on Jun 18, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fairfax, VA. The record was last updated on Jun 18, 2012.