Individual provider · Type 1 NPI

Stephanie Lynn Deriso, PTA

Physical Therapy Assistant · Fort Myers, FL

NPI number 1639800402 Active

Practice location

3033 Winkler Ave
Fort Myers, FL 33916-9522

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA20616 (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 1639800402

Stephanie Lynn Deriso, PTA's National Provider Identifier is 1639800402, issued on Jun 22, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Myers, FL. The record was last updated on Jun 22, 2022.