Individual provider · Type 1 NPI
Juan Waller, PTA
Physical Therapy Assistant · College Park, GA
Practice location
1901 Phoenix Blvd, Suite 205
College Park, GA 30349-5588
Mailing address
PO Box 518
Jonesboro, GA 30237-0518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | PTA002005 (GA) |
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 1780763425
Juan Waller, PTA's National Provider Identifier is 1780763425, issued on Nov 3, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in College Park, GA. The record was last updated on Jul 8, 2007.