Individual provider · Type 1 NPI

Broderick Earl Peariso, PTA

Physical Therapy Assistant · Lansing, MI

NPI number 1669727871 Active

Practice location

3370 E Jolly Rd
Lansing, MI 48910-8552

Call (517) 332-7246 Map

Fax (517) 332-1474

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502001428 (MI)

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 1669727871

Broderick Earl Peariso, PTA's National Provider Identifier is 1669727871, issued on Jul 14, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lansing, MI. The record was last updated on Jul 14, 2012.