Individual provider · Type 1 NPI
Shibu Porinchu Perumbully, PTA
Physical Therapy Assistant · Oak Lawn, IL
Practice location
9725 S Karlov Ave
Oak Lawn, IL 60453-3388
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 160.005937 (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 1346507811
Shibu Porinchu Perumbully, PTA's National Provider Identifier is 1346507811, issued on Apr 20, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Oak Lawn, IL. The record was last updated on Apr 20, 2012.