Individual provider · Type 1 NPI

Evelyn J. Black, PTA

Physical Therapy Assistant · Lakeland, FL

NPI number 1649368762 Active

Practice location

417 S Florida Ave
Lakeland, FL 33801-5226

Mailing address

2375 Riverwood Dr
Mulberry, FL 33860-8322

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA18831 (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 1649368762

Evelyn J. Black, PTA's National Provider Identifier is 1649368762, issued on Oct 11, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lakeland, FL. The record was last updated on Jul 8, 2007.