Individual provider · Type 1 NPI

Fredi Bustos Mateo, PTA

Physical Therapy Assistant · Sylmar, CA

NPI number 1881215028 Active

Practice location

12831 Maclay St
Sylmar, CA 91342-4934

Mailing address

12909 Harding St
Sylmar, CA 91342-3411

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X49701 (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 1881215028

Fredi Bustos Mateo, PTA's National Provider Identifier is 1881215028, issued on Apr 29, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sylmar, CA. The record was last updated on Apr 29, 2020.