Individual provider · Type 1 NPI

Fallon L. Frederick, PTA

Physical Therapy Assistant · Seattle, WA

NPI number 1295209245 Active

Practice location

2821 S Walden St
Seattle, WA 98144-6830

Mailing address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XP160900331 (WA)

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 1295209245

Fallon L. Frederick, PTA's National Provider Identifier is 1295209245, issued on Jan 13, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Seattle, WA. The record was last updated on Jan 13, 2019.