Individual provider · Type 1 NPI

Wanda Carroll, PTA, LMT, CNA

Physical Therapy Assistant · Severna Park, MD

NPI number 1356566731 Active

Practice location

839 Cottonwood Dr
Severna Park, MD 21146-2836

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XM00487 (MD)
Massage Therapist 225700000XM00487 (MD)
Physical Therapy Assistant Primary 225200000XA3443 (MD)
Home Health Aide 374U00000XA00010416 (MD)
Nurse's Aide 376K00000XA00010416 (MD)

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 1356566731

Wanda Carroll, PTA, LMT, CNA's National Provider Identifier is 1356566731, issued on Apr 13, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Severna Park, MD. The record was last updated on Jun 9, 2015.