Individual provider · Type 1 NPI

Nathan Louis Slade

Physical Therapy Assistant · Fairfax, VA

NPI number 1356952865 Active

Practice location

10701 Main St
Fairfax, VA 22030-6904

Mailing address

2911 Deer Hollow Way Unit 418
Fairfax, VA 22031-6048

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306605670 (VA)

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 1356952865

Nathan Louis Slade's National Provider Identifier is 1356952865, issued on Aug 10, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fairfax, VA. The record was last updated on Aug 12, 2020.