Individual provider · Type 1 NPI

Gonzalo Fernandez

Physical Therapy Assistant · Tyler, TX

NPI number 1962057059 Active

Practice location

753 S Beckham Ave
Tyler, TX 75701

Call (903) 705-4232 Map

Mailing address

217 Dublin Ave
Tyler, TX 75703-5311

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2149763 (TX)

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 1962057059

Gonzalo Fernandez's National Provider Identifier is 1962057059, issued on Aug 6, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Tyler, TX. The record was last updated on Aug 6, 2019.