Individual provider · Type 1 NPI

Mary Susan Pernell, LPTA

Physical Therapy Assistant · Columbia, MO

NPI number 1861743817 Active

Practice location

2011 Corona Rd Ste 301
Columbia, MO 65203-2548

Call (314) 543-3861 Map

Mailing address

411 Robert Ave
Ferguson, MO 63135-3526

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X116138 (MO)

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 1861743817

Mary Susan Pernell, LPTA's National Provider Identifier is 1861743817, issued on Sep 29, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Columbia, MO. The record was last updated on Sep 29, 2012.