Individual provider · Type 1 NPI

Diane Fortek, PTA

Physical Therapy Assistant · Brookfield, WI

NPI number 1376883280 Active

Practice location

19395 W Capitol Dr Ste 200
Brookfield, WI 53045-2736

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	1919-19 (WI)

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 1376883280

Diane Fortek, PTA's National Provider Identifier is 1376883280, issued on Mar 1, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Brookfield, WI. The record was last updated on Feb 11, 2017.