Individual provider · Type 1 NPI

Jessica Dyann Fambrough, PTA

Physical Therapy Assistant · Wylie, TX

NPI number 1578074530 Active

Practice location

611 W Brown St Ste 101
Wylie, TX 75098-5816

Fax (972) 442-3181

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2131626 (TX)

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 1578074530

Jessica Dyann Fambrough, PTA's National Provider Identifier is 1578074530, issued on Oct 18, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Wylie, TX. The record was last updated on Oct 18, 2017.