Individual provider · Type 1 NPI

Martin Edward Sudar, LPTA

Physical Therapy Assistant · Lake Oswego, OR

NPI number 1407053796 Active

Practice location

3814 Botticelli St
Lake Oswego, OR 97035-1303

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X7928 (OR)

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 1407053796

Martin Edward Sudar, LPTA's National Provider Identifier is 1407053796, issued on Jun 29, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lake Oswego, OR. The record was last updated on Jul 8, 2007.