Individual provider · Type 1 NPI

Nicole Marie Pastoor, PTA

Physical Therapy Assistant · Grant, MI

NPI number 1376762997 Active

Practice location

17615 W Moore
Grant, MI 49327-9408

Mailing address

5296 New Holland St
Hudsonville, MI 49426-9565

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XAT-6074 (CA)

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 1376762997

Nicole Marie Pastoor, PTA's National Provider Identifier is 1376762997, issued on Apr 24, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Grant, MI. The record was last updated on Jul 8, 2007.