Individual provider · Type 1 NPI

Jacqueline Rebeca Rodriguez, PTA

Physical Therapy Assistant · Manassas, VA

NPI number 1700542271 Active

Practice location

9705 Liberia Ave
Manassas, VA 20110-1743

Mailing address

360 Moseby Ct
Manassas Park, VA 20111-2098

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306606002 (VA)

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 1700542271

Jacqueline Rebeca Rodriguez, PTA's National Provider Identifier is 1700542271, issued on Nov 9, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Manassas, VA. The record was last updated on Nov 9, 2021.