Individual provider · Type 1 NPI

Madonna Marie Broquet, PTA

Physical Therapy Assistant · Mchenry, IL

NPI number 1437439239 Active

Practice location

3516 Waukegan Rd
Mchenry, IL 60050-5732

Call (815) 271-5249 Map

Mailing address

PO Box 369
Lake Villa, IL 60046-0369

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.001738 (IL)
Physical Therapy Assistant 225200000X1441-19 (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 1437439239

Madonna Marie Broquet, PTA's National Provider Identifier is 1437439239, issued on Aug 24, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mchenry, IL. The record was last updated on Aug 24, 2011.