Individual provider · Type 1 NPI

Mary Delia Roettjer, PTA

Physical Therapy Assistant · St. Paul, MN

NPI number 1306987672 Active

Practice location

640 Jackson St
St. Paul, MN 55101-2502

Mailing address

4985 Enchantment Ln
Stacy, MN 55079-4551

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 1306987672

Mary Delia Roettjer, PTA's National Provider Identifier is 1306987672, issued on Feb 9, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2007.