Individual provider · Type 1 NPI

Eydee Mazenko

Physical Therapy Assistant · Benicia, CA

NPI number 1679964225 Active

Practice location

860 Southampton Rd
Benicia, CA 94510-1907

Fax (707) 745-5698

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XAT 5682 (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 1679964225

Eydee Mazenko's National Provider Identifier is 1679964225, issued on Feb 17, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Benicia, CA. The record was last updated on Feb 17, 2015.