Individual provider · Type 1 NPI

Nichole Dearborn, PTA

Physical Therapy Assistant · Vincennes, IN

NPI number 1114129475 Active

Practice location

3801 Old Bruceville Rd
Vincennes, IN 47591-3889

Call (812) 886-4677 Map

Mailing address

305 E 23rd St N
Newton, IA 50208-2609

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X00774 (IA)

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 1114129475

Nichole Dearborn, PTA's National Provider Identifier is 1114129475, issued on May 31, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Vincennes, IN. The record was last updated on Jul 13, 2012.