Individual provider · Type 1 NPI

Whitney Lourdon, PTA

Physical Therapy Assistant · State College, PA

NPI number 1356686596 Active

Practice location

434 W Aaron Dr, Suite 103
State College, PA 16803-3074

Mailing address

PO Box 1074, 631 Matilda Avenue
Lemont, PA 16851-1074

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XTE009574 (PA)

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 1356686596

Whitney Lourdon, PTA's National Provider Identifier is 1356686596, issued on Nov 28, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in State College, PA. The record was last updated on Nov 28, 2012.