Individual provider · Type 1 NPI

Annika Mog, PTA

Physical Therapy Assistant · Damascus, MD

NPI number 1376315895 Active

Practice location

9815 Main St Ste 206
Damascus, MD 20872-2099

Mailing address

23824 Rolling Fork Way
Gaithersburg, MD 20882-2725

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA3815 (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 1376315895

Annika Mog, PTA's National Provider Identifier is 1376315895, issued on Oct 27, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Damascus, MD. The record was last updated on Oct 27, 2023.