Individual provider · Type 1 NPI

Denise Jackson, LPTA

Physical Therapy Assistant · Chicago Ridge, IL

NPI number 1093089906 Active

Practice location

10300 Southwest Hwy
Chicago Ridge, IL 60415-1426

Call (708) 425-1100 Map

Fax (708) 425-0209

Mailing address

8342 S Kenton Ave
Chicago, IL 60652-3040

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160000679 (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 1093089906

Denise Jackson, LPTA's National Provider Identifier is 1093089906, issued on Feb 24, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Chicago Ridge, IL. The record was last updated on Feb 24, 2012.