Individual provider · Type 1 NPI

Omar Wilson

Physical Therapy Assistant · Lyndhurst, NJ

NPI number 1871281089 Active

Practice location

70 Ridge Rd
Lyndhurst, NJ 07071-1216

Fax (201) 984-4429

Mailing address

576 Broadhollow Rd
Melville, NY 11747-5002

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X40QB00280300 (NJ)

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 1871281089

Omar Wilson's National Provider Identifier is 1871281089, issued on Apr 26, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lyndhurst, NJ. The record was last updated on Apr 26, 2023.