Individual provider · Type 1 NPI

Mario P. Ridad

Physical Therapy Assistant · Corsicana, TX

NPI number 1972755072 Active

Practice location

3301 W Park Row Blvd
Corsicana, TX 75110-4846

Mailing address

3336 Lexington Dr
Tyler, TX 75701-6636

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2052710 (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 1972755072

Mario P. Ridad's National Provider Identifier is 1972755072, issued on Oct 21, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Corsicana, TX. The record was last updated on Oct 21, 2008.