Individual provider · Type 1 NPI

Bouakham Chanthavongnasaeng

Physical Therapy Assistant · Deerfield Beach, FL

NPI number 1346829751 Active

Practice location

401 E Sample Rd
Deerfield Beach, FL 33064-4441

Call (954) 941-4100 Map

Mailing address

103 Royal Park Dr Apt 4C
Oakland Park, FL 33309-5832

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA25966 (FL)
Physical Therapy Assistant 225200000XNone listed

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 1346829751

Bouakham Chanthavongnasaeng's National Provider Identifier is 1346829751, issued on Apr 4, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Deerfield Beach, FL. The record was last updated on Apr 4, 2021.