Individual provider · Type 1 NPI

Boaz Nyongesa Barasa

Physical Therapy Assistant · South Bend, IN

NPI number 1427698307 Active

Practice location

17475 Dugdale Dr
South Bend, IN 46635-1545

Call (574) 247-7500 Map

Mailing address

828 Liberty St
Elkhart, IN 46514-2604

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06005605A (IN)

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 1427698307

Boaz Nyongesa Barasa's National Provider Identifier is 1427698307, issued on Jan 8, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in South Bend, IN. The record was last updated on Jan 8, 2020.