Individual provider · Type 1 NPI

Stacie Lynn Otis, PTA

Physical Therapy Assistant · Springfield, VT

NPI number 1295050912 Active

Practice location

25 Ridgewood Rd
Springfield, VT 05156-3050

Call (802) 885-2151 Map

Mailing address

165 Park St
Springfield, VT 05156-3035

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X041.0000358 (VT)

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 1295050912

Stacie Lynn Otis, PTA's National Provider Identifier is 1295050912, issued on Apr 6, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Springfield, VT. The record was last updated on Apr 6, 2010.