Individual provider · Type 1 NPI

Andrea Elizabeth Dewaele, LPTA

Physical Therapy Assistant · Roseville, MI

NPI number 1174148316 Active

Practice location

25375 Kelly Rd
Roseville, MI 48066-4960

Mailing address

358 Kerby Rd
Grosse Pointe Farms, MI 48236-3143

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502000541 (MI)

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 1174148316

Andrea Elizabeth Dewaele, LPTA's National Provider Identifier is 1174148316, issued on Jun 13, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Roseville, MI. The record was last updated on Jun 13, 2020.