Individual provider · Type 1 NPI

Shawn Wilson, PTA

Physical Therapy Assistant · Palm Bay, FL

NPI number 1447341821 Active

Practice location

490 Centre Lake Dr NE
Palm Bay, FL 32907-1189

Call (321) 768-9776 Map

Mailing address

232 Tipton Rd SW
Palm Bay, FL 32908-3452

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA 18076 (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 1447341821

Shawn Wilson, PTA's National Provider Identifier is 1447341821, issued on Sep 28, 2006. 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 Jul 8, 2007.