Individual provider · Type 1 NPI

Angela Jean Moderson, PTA

Physical Therapy Assistant · Weyauwega, WI

NPI number 1447407341 Active

Practice location

717 E Alfred St
Weyauwega, WI 54983-9024

Call (920) 867-3121 Map

Fax (920) 867-3997

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X856-019 (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 1447407341

Angela Jean Moderson, PTA's National Provider Identifier is 1447407341, issued on Aug 21, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Weyauwega, WI. The record was last updated on Aug 21, 2008.