Individual provider · Type 1 NPI

Javon Mytira Willis

Physical Therapy Assistant · Lutherville, MD

NPI number 1861076200 Active

Practice location

2525 Pot Spring Rd
Lutherville, MD 21093-2778

Call (410) 561-0200 Map

Mailing address

1501 Ralworth Rd
Baltimore, MD 21218-2231

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA5478 (MD)

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 1861076200

Javon Mytira Willis's National Provider Identifier is 1861076200, issued on May 11, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lutherville, MD. The record was last updated on May 11, 2021.