Individual provider · Type 1 NPI

Lori Ann Havelka, PTA

Physical Therapy Assistant · Skokie, IL

NPI number 1104177286 Active

Practice location

8131 Monticello Ave
Skokie, IL 60076-3325

Call (847) 673-6767 Map

Mailing address

5436 S Latrobe Ave
Chicago, IL 60638-2910

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.001163 (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 1104177286

Lori Ann Havelka, PTA's National Provider Identifier is 1104177286, issued on Sep 28, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Skokie, IL. The record was last updated on Sep 28, 2012.