Individual provider · Type 1 NPI

John Leonard Wilson Jr., PTA

Physical Therapy Assistant · Palm Bay, FL

NPI number 1427329887 Active

Practice location

5405 Babcock St NE
Palm Bay, FL 32905-5020

Mailing address

260 Falls Church St SW
Palm Bay, FL 32908-7115

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA22760 (FL)

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 1427329887

John Leonard Wilson Jr., PTA's National Provider Identifier is 1427329887, issued on Jan 17, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Palm Bay, FL. The record was last updated on Jan 17, 2012.