Individual provider · Type 1 NPI

Samantha Krejdovsky, PTA

Physical Therapy Assistant · Fairfax, VA

NPI number 1710454020 Active

Practice location

8316 Arlington Blvd Ste 520
Fairfax, VA 22031-5216

Call (703) 205-1999 Map

Mailing address

45 Brookstone Dr
Fredericksburg, VA 22405-2794

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306605228 (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 1710454020

Samantha Krejdovsky, PTA's National Provider Identifier is 1710454020, issued on Oct 25, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fairfax, VA. The record was last updated on Oct 25, 2018.