Individual provider · Type 1 NPI

Clarice Dewitt Marty, LPTA

Physical Therapy Assistant · Fort Gordon, GA

NPI number 1508031550 Active

Practice location

300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials
Fort Gordon, GA 30905-5650

Call (706) 787-2720 Map

Fax (706) 787-8176

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XGA 799 (GA)

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 1508031550

Clarice Dewitt Marty, LPTA's National Provider Identifier is 1508031550, issued on Apr 29, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Gordon, GA. The record was last updated on Apr 29, 2008.