Individual provider · Type 1 NPI

Edwin Dale Landon Jr., PTA

Physical Therapy Assistant · Grand Rapids, MI

NPI number 1437407764 Active

Practice location

428 Bridge St NW
Grand Rapids, MI 49504-5322

Call (616) 451-4284 Map

Fax (616) 451-4811

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X55020002800 (MI)

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 1437407764

Edwin Dale Landon Jr., PTA's National Provider Identifier is 1437407764, issued on Aug 16, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 16, 2012.