Individual provider · Type 1 NPI

Erene Lezon

Physical Therapy Assistant · Libertyville, IL

NPI number 1104463397 Active

Practice location

724 Florsheim Dr
Libertyville, IL 60048-3757

Fax (847) 918-9770

Mailing address

900 Rand Rd Ste 200
Des Plaines, IL 60016-2359

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160-008828 (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 1104463397

Erene Lezon's National Provider Identifier is 1104463397, issued on Dec 6, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Libertyville, IL. The record was last updated on Dec 6, 2019.