Individual provider · Type 1 NPI
Bobby Suministrado, PTA
Physical Therapy Assistant · Moorpark, CA
Practice location
4211 Tierra Rejada Rd
Moorpark, CA 93021-3772
Fax (805) 523-8796
Mailing address
25115 Avenue Stanford Ste B135
Valencia, CA 91355-1290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 53568 (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 …
4 other providers at this address
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About NPI 1336976182
Bobby Suministrado, PTA's National Provider Identifier is 1336976182, issued on Sep 16, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Moorpark, CA. The record was last updated on Sep 16, 2024.