Individual provider · Type 1 NPI

Edward Jastia Fernandez, PTA

Physical Therapy Assistant · Burbank, CA

NPI number 1609391887 Active

Practice location

3425 W Victory Blvd
Burbank, CA 91505-1545

Fax (818) 955-8833

Mailing address

27125 Sierra Hwy Ste 203
Canyon Country, CA 91351-5429

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X48715 (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 1609391887

Edward Jastia Fernandez, PTA's National Provider Identifier is 1609391887, issued on Aug 8, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Burbank, CA. The record was last updated on Aug 8, 2017.