Individual provider · Type 1 NPI

Cheryl Willis, PTA

Physical Therapy Assistant · Bangor, ME

NPI number 1609885052 Active

Practice location

133 Corporate Dr, Suite 2
Bangor, ME 04401-4312

Call (207) 992-9286 Map

Fax (207) 992-9287

Mailing address

PO Box 921
Bangor, ME 04402-0921

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPA1383 (ME)

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 1609885052

Cheryl Willis, PTA's National Provider Identifier is 1609885052, issued on Aug 5, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bangor, ME. The record was last updated on Jan 21, 2009.