Individual provider · Type 1 NPI

Crystal Larae Wilson

Physical Therapy Assistant · Fort Walton Beach, FL

NPI number 1316530157 Active

Practice location

1110 Hospital Rd Bldg B
Fort Walton Beach, FL 32547-6742

Call (850) 863-8129 Map

Mailing address

2062 Ortega St
Navarre, FL 32566-2178

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	PTA28027 (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 1316530157

Crystal Larae Wilson's National Provider Identifier is 1316530157, issued on Feb 12, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Feb 12, 2021.