Individual provider · Type 1 NPI

Emelyn Bernardo Penaloza, PTA

Physical Therapy Assistant · Lodi, CA

NPI number 1316464761 Active

Practice location

800 S Ham Ln
Lodi, CA 95242-3543

Mailing address

8887 Serravilla Way
Elk Grove, CA 95758-6338

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA10004 (CA)

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 1316464761

Emelyn Bernardo Penaloza, PTA's National Provider Identifier is 1316464761, issued on Aug 26, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lodi, CA. The record was last updated on Aug 26, 2017.