Individual provider · Type 1 NPI

Sullivan Fross, PTA

Physical Therapy Assistant · Irvine, CA

NPI number 1649936212 Active

Practice location

4950 Barranca Pkwy Ste 302
Irvine, CA 92604-4631

Call (949) 346-1486 Map

Mailing address

13221 Illinois St
Westminster, CA 92683-2609

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	51500 (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 1649936212

Sullivan Fross, PTA's National Provider Identifier is 1649936212, issued on Nov 9, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Irvine, CA. The record was last updated on Nov 9, 2021.