Individual provider · Type 1 NPI

Jethro Payne De Vega La Rosa

Physical Therapy Assistant · Fremont, CA

NPI number 1720422983 Active

Practice location

39210 State St, Suite 202
Fremont, CA 94538-1456

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone 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.