Individual provider · Type 1 NPI

Lauren Blake, PTA

Physical Therapy Assistant · Morgantown, WV

NPI number 1386921906 Active

Practice location

161 Bakers Ridge Rd
Morgantown, WV 26508-1459

Call (304) 285-0692 Map

Mailing address

1300 Peacock Ln
Fairmont, WV 26554-2420

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3990 (WV)

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 1386921906

Lauren Blake, PTA's National Provider Identifier is 1386921906, issued on Nov 10, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Morgantown, WV. The record was last updated on Jun 19, 2013.