Individual provider · Type 1 NPI

Charlotte Elizabeth Weiss Gallagher, PTA, LMT

Physical Therapy Assistant · Bourbonnais, IL

NPI number 1063767754 Active

Practice location

21 Heritage Dr Ste 101
Bourbonnais, IL 60914-1465

Fax (815) 937-8222

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160004550 (IL)

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 1063767754

Charlotte Elizabeth Weiss Gallagher, PTA, LMT's National Provider Identifier is 1063767754, issued on Jul 18, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bourbonnais, IL. The record was last updated on Jul 18, 2012.