Individual provider · Type 1 NPI

Bronsun Bouyasith Phengdy, PTA

Physical Therapy Assistant · Avondale, AZ

NPI number 1417685397 Active

Practice location

10450 W Mcdowell Rd
Avondale, AZ 85392-4901

Call (623) 846-7614 Map

Mailing address

2215 W Highland Ave
Phoenix, AZ 85015-4028

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

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 1417685397

Bronsun Bouyasith Phengdy, PTA's National Provider Identifier is 1417685397, issued on Aug 9, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Avondale, AZ. The record was last updated on Aug 9, 2022.