Individual provider · Type 1 NPI

Gerald Lee Philo Jr., PTA

Physical Therapy Assistant · Dearborn, MI

NPI number 1962087262 Active

Practice location

5500 Auto Club Dr Ste 150
Dearborn, MI 48126-2779

Fax (313) 982-8098

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502000079 (MI)

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 1962087262

Gerald Lee Philo Jr., PTA's National Provider Identifier is 1962087262, issued on Mar 17, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Dearborn, MI. The record was last updated on Mar 24, 2021.