Individual provider · Type 1 NPI

Mariano Jervoso Mempin Iii, PTA

Physical Therapy Assistant · San Jose, CA

NPI number 1467219329 Active

Practice location

1604 Blossom Hill Rd Ste 10
San Jose, CA 95124-6350

Call (408) 528-8833 Map

Mailing address

37171 Sycamore St Apt 625
Newark, CA 94560-3975

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X52735 (CA)

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 1467219329

Mariano Jervoso Mempin Iii, PTA's National Provider Identifier is 1467219329, issued on Mar 6, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Jose, CA. The record was last updated on Mar 6, 2024.