Individual provider · Type 1 NPI

Stephanie Cardella Boden

Physical Therapy Assistant · Portland, OR

NPI number 1700557840 Active

Practice location

4400 NE Halsey St
Portland, OR 97213-1545

Mailing address

13511 SE Taylor Ct
Portland, OR 97233-1970

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X9334 (OR)

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 1700557840

Stephanie Cardella Boden's National Provider Identifier is 1700557840, issued on Sep 27, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Portland, OR. The record was last updated on Sep 27, 2021.