Individual provider · Type 1 NPI

Edward Victor Small Jr., PTA

Physical Therapy Assistant · Bangor, ME

NPI number 1508107665 Active

Practice location

489 State St
Bangor, ME 04401-6616

Call (207) 973-8086 Map

Mailing address

297 Birch St
Bangor, ME 04401-4025

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPA3405 (ME)

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 1508107665

Edward Victor Small Jr., PTA's National Provider Identifier is 1508107665, issued on Mar 13, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bangor, ME. The record was last updated on Mar 13, 2013.