Individual provider · Type 1 NPI

Reno Zachery Davenport, PTA

Physical Therapy Assistant · Santa Clara, CA

NPI number 1619635828 Active

Practice location

2488 De La Cruz Blvd
Santa Clara, CA 95050-2923

Call (408) 247-7278 Map

Mailing address

1050 Bird Ave
San Jose, CA 95125-1617

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X50488 (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 1619635828

Reno Zachery Davenport, PTA's National Provider Identifier is 1619635828, issued on Dec 5, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Santa Clara, CA. The record was last updated on Dec 5, 2021.