Individual provider · Type 1 NPI

Ina Rae Broadaway, PTA

Physical Therapy Assistant · Little Rock, AR

NPI number 1750689923 Active

Practice location

1801 Champlin Dr, Apt. 1206
Little Rock, AR 72223-3965

Call (870) 758-0154 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA 804 (AR)

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 1750689923

Ina Rae Broadaway, PTA's National Provider Identifier is 1750689923, issued on Mar 11, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Little Rock, AR. The record was last updated on Mar 11, 2011.