Individual provider · Type 1 NPI

Stacie Nicole Street

Physical Therapy Assistant · Kennett Square, PA

NPI number 1508106667 Active

Practice location

101 E State St
Kennett Square, PA 19348-3109

Call (610) 444-6350 Map

Mailing address

31199 Wilson Myrtle Dr
Millsboro, DE 19966-4638

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XJ2-0000766 (DE)

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 1508106667

Stacie Nicole Street's National Provider Identifier is 1508106667, issued on Feb 26, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Kennett Square, PA. The record was last updated on Feb 26, 2013.