Individual provider · Type 1 NPI
Angelica Moreno
Physical Therapy Assistant · Streator, IL
Practice location
508 W Frech St
Streator, IL 61364-1216
Mailing address
215 E Washington St
Pontiac, IL 61764-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 160008659 (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 1124653019
Angelica Moreno's National Provider Identifier is 1124653019, issued on Mar 11, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Streator, IL. The record was last updated on Mar 11, 2020.