Individual provider · Type 1 NPI

Heather Diana Profetto, PTA

Physical Therapy Assistant · Jacksonville, FL

NPI number 1316379332 Active

Practice location

8505 San Jose Blvd
Jacksonville, FL 32217-4225

Call (904) 419-6101 Map

Mailing address

10746 Lippizan Dr
Jacksonville, FL 32257-3657

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	PTA 21452 (FL)

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 1316379332

Heather Diana Profetto, PTA's National Provider Identifier is 1316379332, issued on Aug 1, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 1, 2013.