Individual provider · Type 1 NPI

Stephanie Van Iderstine

Physical Therapy Assistant · East Longmeadow, MA

NPI number 1710420104 Active

Practice location

305 Maple St
East Longmeadow, MA 01028-2765

Call (413) 525-6361 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X9202 (MA)

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 1710420104

Stephanie Van Iderstine's National Provider Identifier is 1710420104, issued on Dec 2, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in East Longmeadow, MA. The record was last updated on Dec 2, 2016.