Individual provider · Type 1 NPI

Brandie Collette Dupont, MS, ATC, PTA, CSCS

Physical Therapy Assistant · Salem, OR

NPI number 1417003997 Active

Practice location

685 36th Ave NE
Salem, OR 97301-4741

Mailing address

3018 SW Carson St
Portland, OR 97219-3720

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X8730 (OR)

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 1417003997

Brandie Collette Dupont, MS, ATC, PTA, CSCS's National Provider Identifier is 1417003997, issued on Jan 26, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Salem, OR. The record was last updated on Jul 6, 2011.