Individual provider · Type 1 NPI

Debora Jean Prendergast, PTA

Physical Therapy Assistant · Minerva, OH

NPI number 1619174547 Active

Practice location

400 Carolyn Ct
Minerva, OH 44657-8703

Fax (330) 868-7714

Mailing address

7995 Knox School Rd
Minerva, OH 44657-9437

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA03600 (OH)

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 1619174547

Debora Jean Prendergast, PTA's National Provider Identifier is 1619174547, issued on Jul 3, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Minerva, OH. The record was last updated on Jul 8, 2007.