Individual provider · Type 1 NPI
Mark Tavera, PTA
Physical Therapy Assistant · Burbank, CA
Practice location
101 S 1st St Ste 1800
Burbank, CA 91502-1959
Fax (818) 558-7312
Mailing address
8510 Balboa Blvd Ste 150
Northridge, CA 91325-5810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | PTA48496 (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 …
3 other providers at this address
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About NPI 1255823894
Mark Tavera, PTA's National Provider Identifier is 1255823894, issued on May 30, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Burbank, CA. The record was last updated on May 30, 2018.