Individual provider · Type 1 NPI

Addison Coulter

Physical Therapy Assistant · Bourbonnais, IL

NPI number 1366892861 Active

Practice location

1275 N Convent St, Suite 3
Bourbonnais, IL 60914-8210

Call (815) 936-1855 Map

Fax (815) 936-6097

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

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 1366892861

Addison Coulter's National Provider Identifier is 1366892861, issued on Jun 15, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bourbonnais, IL. The record was last updated on Jun 15, 2016.