Individual provider · Type 1 NPI
Crystal Wallace Goddin, PTA
Physical Therapy Assistant · Bushnell, FL
Practice location
1104 N Main St, Bushnell, Fl
Bushnell, FL 33513
Mailing address
391 Cr 549
Bushnell, FL 33513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 23675 (FL) |
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 1619465481
Crystal Wallace Goddin, PTA's National Provider Identifier is 1619465481, issued on Apr 27, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bushnell, FL. The record was last updated on Apr 27, 2018.