Individual provider · Type 1 NPI

Devon William McKenna, PTA

Physical Therapy Assistant · West Orange, NJ

NPI number 1386369189 Active

Practice location

622 Eagle Rock Ave
West Orange, NJ 07052-2994

Call (973) 669-0078 Map

Fax (973) 669-1113

Mailing address

981 US Highway 22 Fl 2
Bridgewater, NJ 08807-2946

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X40QB00397200 (NJ)

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 1386369189

Devon William McKenna, PTA's National Provider Identifier is 1386369189, issued on Oct 5, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in West Orange, NJ. The record was last updated on Oct 5, 2022.