Individual provider · Type 1 NPI

Jamie Dedecko, PTA

Physical Therapy Assistant · South Yarmouth, MA

NPI number 1669596169 Active

Practice location

265 N Main St
South Yarmouth, MA 02664-2083

Fax (508) 394-0759

Mailing address

2 Ivy Ln
Sandwich, MA 02563-3125

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X103 (MA)

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 1669596169

Jamie Dedecko, PTA's National Provider Identifier is 1669596169, issued on Mar 19, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in South Yarmouth, MA. The record was last updated on Jul 8, 2007.