Individual provider · Type 1 NPI
Jackline Kimata, PTA
Physical Therapy Assistant · Baltimore, MD
Practice location
2159 1/2 Pentland Dr
Baltimore, MD 21234-7211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | A3816 (MD) |
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 1447630264
Jackline Kimata, PTA's National Provider Identifier is 1447630264, issued on Jun 6, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Baltimore, MD. The record was last updated on Jun 6, 2015.