Individual provider · Type 1 NPI

Shane Vidal

Physical Therapy Assistant · Northridge, CA

NPI number 1831903905 Active

Practice location

11260 Wilbur Ave Ste 101
Northridge, CA 91326-2450

Call (818) 832-5656 Map

Fax (818) 838-5245

Mailing address

22003 Liggett St
Chatsworth, CA 91311-5721

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X53866 (CA)

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 1831903905

Shane Vidal's National Provider Identifier is 1831903905, issued on Feb 6, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Northridge, CA. The record was last updated on Feb 6, 2025.