Individual provider · Type 1 NPI

Samantha E. Vanderburg, PTA

Physical Therapy Assistant · Broken Arrow, OK

NPI number 1316513583 Active

Practice location

204 S Sweet Gum Pl
Broken Arrow, OK 74012-4587

Call (918) 284-4220 Map

Fax (918) 249-2817

Mailing address

2608 W Kenosha St # 496
Broken Arrow, OK 74012-8952

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	2928 (OK)

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 1316513583

Samantha E. Vanderburg, PTA's National Provider Identifier is 1316513583, issued on May 28, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Broken Arrow, OK. The record was last updated on May 28, 2021.