Individual provider · Type 1 NPI

Lisa Marie Johanson, P.T.A.

Physical Therapy Assistant · Glen Cove, NY

NPI number 1598078560 Active

Practice location

100 Glen Cove Ave
Glen Cove, NY 11542-2818

Call (516) 609-2000 Map

Fax (516) 609-2014

Mailing address

12 Mckinley Pl
Glen Cove, NY 11542-1927

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X003389-1 (NY)

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 1598078560

Lisa Marie Johanson, P.T.A.'s National Provider Identifier is 1598078560, issued on Jul 20, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Glen Cove, NY. The record was last updated on Jul 20, 2010.