Individual provider · Type 1 NPI

Richelle Matienzo, PTA

Physical Therapy Assistant · Lakewood, CA

NPI number 1861265928 Active

Practice location

3300 E South St Ste 203
Lakewood, CA 90805-4589

Mailing address

8791 Walker St Apt 34
Cypress, CA 90630-5916

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X52844 (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 1861265928

Richelle Matienzo, PTA's National Provider Identifier is 1861265928, issued on Nov 1, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lakewood, CA. The record was last updated on Nov 1, 2023.