Individual provider · Type 1 NPI

Charminade McCoy, PTA

Physical Therapy Assistant · Crestline, CA

NPI number 1619330081 Active

Practice location

1060 Playground Rd
Crestline, CA 92325

Mailing address

PO Box 2061
Crestline, CA 92325-2061

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XAT3151 (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 …

About NPI 1619330081

Charminade McCoy, PTA's National Provider Identifier is 1619330081, issued on Apr 1, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Crestline, CA. The record was last updated on Apr 1, 2016.