Individual provider · Type 1 NPI

Andrew Florentino Tacazon Jr., PTA

Physical Therapy Assistant · Rancho Cucamonga, CA

NPI number 1891666335 Active

Practice location

8692 9th St Unit 44
Rancho Cucamonga, CA 91730-0818

Call (909) 789-1212 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X54330 (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 1891666335

Andrew Florentino Tacazon Jr., PTA's National Provider Identifier is 1891666335, issued on Sep 17, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Oct 24, 2025.