Individual provider · Type 1 NPI

Guadalupe Villa, PTA

Physical Therapy Assistant · San Clemente, CA

NPI number 1578081337 Active

Practice location

903 Calle Amanecer Ste 200
San Clemente, CA 92673-6252

Mailing address

550 Paularino Ave Apt M211
Costa Mesa, CA 92626-3244

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X48900 (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 1578081337

Guadalupe Villa, PTA's National Provider Identifier is 1578081337, issued on Aug 31, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Clemente, CA. The record was last updated on Aug 31, 2017.