Individual provider · Type 1 NPI

Dustin Azevedo, LPTA

Physical Therapy Assistant · Charleston, SC

NPI number 1255900452 Active

Practice location

109 Bee St
Charleston, SC 29401-5703

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X6235 (SC)

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 1255900452

Dustin Azevedo, LPTA's National Provider Identifier is 1255900452, issued on Jun 22, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Charleston, SC. The record was last updated on Jun 22, 2021.