Individual provider · Type 1 NPI

Mark Kolb, PTA

Physical Therapy Assistant · Port Orange, FL

NPI number 1780723510 Active

Practice location

1525 Herbert St Ste 103
Port Orange, FL 32129-6107

Call (386) 756-0424 Map

Fax (386) 756-0425

Mailing address

3453 Country Walk Dr
Port Orange, FL 32129-3156

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA 20708 (FL)

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 1780723510

Mark Kolb, PTA's National Provider Identifier is 1780723510, issued on Feb 6, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Port Orange, FL. The record was last updated on Jul 8, 2007.