Individual provider · Type 1 NPI

Lacey Antonio, PTA

Physical Therapy Assistant · Leesburg, GA

NPI number 1679233100 Active

Practice location

1360 Lovers Lane Rd
Leesburg, GA 31763-4544

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

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 1679233100

Lacey Antonio, PTA's National Provider Identifier is 1679233100, issued on Dec 24, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Leesburg, GA. The record was last updated on Dec 24, 2021.