Individual provider · Type 1 NPI
Viktoria Ivanov, PTA
Physical Therapy Assistant · Sherman Oaks, CA
Practice location
14245 Dickens St, Unit 104
Sherman Oaks, CA 91423-4113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 10443 (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 1619334083
Viktoria Ivanov, PTA's National Provider Identifier is 1619334083, issued on Jan 15, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sherman Oaks, CA. The record was last updated on Jan 15, 2016.