Individual provider · Type 1 NPI

Vicky Lynn Sullivan, LPTA

Physical Therapy Assistant · La Grande, OR

NPI number 1609898840 Active

Practice location

90 Sunset Drive
La Grande, OR 97850

Fax (541) 963-1890

Mailing address

PO Box 3290, 900 Sunset Drive
La Grande, OR 97850

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X8027 (OR)

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 1609898840

Vicky Lynn Sullivan, LPTA's National Provider Identifier is 1609898840, issued on Jul 24, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in La Grande, OR. The record was last updated on Feb 9, 2012.