Individual provider · Type 1 NPI

Donetta M. Hagebusch, PTA

Physical Therapy Assistant · Milwaukie, OR

NPI number 1164501110 Active

Practice location

4560 SE International Way, Suite 100
Milwaukie, OR 97222-4628

Call (971) 206-5129 Map

Fax (971) 206-5209

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X7153 (OR)

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 1164501110

Donetta M. Hagebusch, PTA's National Provider Identifier is 1164501110, issued on Nov 2, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Milwaukie, OR. The record was last updated on Apr 22, 2008.