Individual provider · Type 1 NPI

Patrick Dagg

Physical Therapy Assistant · Bloomington, IL

NPI number 1508187204 Active

Practice location

700 E Walnut St
Bloomington, IL 61701-3244

Call (309) 827-8004 Map

Fax (309) 827-0256

Mailing address

550 Frontage Rd, Suite 2415
Northfield, IL 60093-1202

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160003356 (IL)

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 1508187204

Patrick Dagg's National Provider Identifier is 1508187204, issued on Jun 16, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bloomington, IL. The record was last updated on Jun 16, 2010.