Individual provider · Type 1 NPI

Jesse Peterson, PHYSICAL THERAPIST

Physical Therapy Assistant · Chicago, IL

NPI number 1174642136 Active

Practice location

222 S Riverside Plz Ste 830
Chicago, IL 60606-5900

Call (866) 386-0773 Map

Mailing address

5015 N Hermitage Ave # 1
Chicago, IL 60640-2715

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

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 1174642136

Jesse Peterson, PHYSICAL THERAPIST's National Provider Identifier is 1174642136, issued on Mar 28, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.