Individual provider · Type 1 NPI

Souriya Moua

Physical Therapy Assistant · Anoka, MN

NPI number 1710754049 Active

Practice location

7637 Old Viking Blvd NW
Anoka, MN 55303-9714

Fax (763) 559-1195

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA1907 (MN)

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 1710754049

Souriya Moua's National Provider Identifier is 1710754049, issued on Dec 6, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Anoka, MN. The record was last updated on Dec 22, 2023.