Individual provider · Type 1 NPI

Patrice Irvin, PTA

Physical Therapy Assistant · Tyler, TX

NPI number 1649678830 Active

Practice location

900 S Baxter Ave
Tyler, TX 75701-2209

Call (903) 597-2805 Map

Mailing address

3857 Louise Ct
Tyler, TX 75709-5439

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2049953 (TX)

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 1649678830

Patrice Irvin, PTA's National Provider Identifier is 1649678830, issued on Dec 20, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Tyler, TX. The record was last updated on Dec 20, 2014.