Individual provider · Type 1 NPI
Denise Provoost, PTA
Physical Therapy Assistant · Albuquerque, NM
Practice location
1515 Eubank Blvd SE Bldg 832
Albuquerque, NM 87185
Mailing address
512 California Street
Albuquerque, NM 87108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | A0714 (NM) |
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 1962755009
Denise Provoost, PTA's National Provider Identifier is 1962755009, issued on Oct 25, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Albuquerque, NM. The record was last updated on Oct 25, 2012.