Individual provider · Type 1 NPI

Bethany I. Jackson

Physical Therapy Assistant · Irvington, NJ

NPI number 1669830204 Active

Practice location

10 Marshall St, Apt 5A
Irvington, NJ 07111-8701

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X40QB00293000 (NJ)

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 1669830204

Bethany I. Jackson's National Provider Identifier is 1669830204, issued on Feb 9, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Irvington, NJ. The record was last updated on Feb 9, 2016.