Individual provider · Type 1 NPI

Maria Nessan Venerable Lobos

Physical Therapy Assistant · Loves Park, IL

NPI number 1164190849 Active

Practice location

2006 Evans Ave
Loves Park, IL 61111-3235

Mailing address

4141 N Rockton Ave
Rockford, IL 61103-1524

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1600074013 (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 1164190849

Maria Nessan Venerable Lobos's National Provider Identifier is 1164190849, issued on Aug 30, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Loves Park, IL. The record was last updated on Aug 30, 2021.