Individual provider · Type 1 NPI
Jethro Payne De Vega La Rosa
Physical Therapy Assistant · Fremont, CA
Practice location
39210 State St, Suite 202
Fremont, CA 94538-1456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | None listed |
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 1720422983
Jethro Payne De Vega La Rosa's National Provider Identifier is 1720422983, issued on Apr 18, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fremont, CA. The record was last updated on Apr 18, 2013.