Individual provider · Type 1 NPI

John Kwak-Hefferan

Physical Therapy Assistant · Port Orange, FL

NPI number 1316391014 Active

Practice location

5535 S Williamson Blvd, Suite 774
Port Orange, FL 32128-8311

Call (800) 330-7711 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160007217 (IL)

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 1316391014

John Kwak-Hefferan's National Provider Identifier is 1316391014, issued on Apr 19, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Port Orange, FL. The record was last updated on Apr 19, 2016.