Individual provider · Type 1 NPI

Lydiawati Kurniawan, PTA

Physical Therapy Assistant · Viroqua, WI

NPI number 1487922316 Active

Practice location

E7404A County Road Bb
Viroqua, WI 54665-7502

Mailing address

821 Tahoe Dr
Onalaska, WI 54650-8234

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1583-19 (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 1487922316

Lydiawati Kurniawan, PTA's National Provider Identifier is 1487922316, issued on Dec 7, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Viroqua, WI. The record was last updated on Dec 7, 2011.