Individual provider · Type 1 NPI

Jacqueline N/a Gonzalez, PTA

Physical Therapy Assistant · Cicero, IL

NPI number 1265096945 Active

Practice location

3521 S 56th Ct
Cicero, IL 60804

Call (708) 714-7919 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.007922 (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 1265096945

Jacqueline N/a Gonzalez, PTA's National Provider Identifier is 1265096945, issued on Apr 27, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Cicero, IL. The record was last updated on Feb 17, 2020.