Individual provider · Type 1 NPI

Frederick Baca, PTA

Physical Therapy Assistant · Pueblo, CO

NPI number 1306014121 Active

Practice location

1008 Minnequa Ave
Pueblo, CO 81004

Call (719) 560-5417 Map

Fax (719) 560-4750

Mailing address

Department 1188
Denver, CO 80291-1188

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

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 1306014121

Frederick Baca, PTA's National Provider Identifier is 1306014121, issued on Feb 14, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Pueblo, CO. The record was last updated on Feb 14, 2008.