Individual provider · Type 1 NPI

Lori Ann Dissen, PTA, CWT

Physical Therapy Assistant · Appleton, WI

NPI number 1609989227 Active

Practice location

10 Tri Park Way
Appleton, WI 54914-1658

Call (920) 831-7902 Map

Fax (920) 831-7939

Mailing address

212 Lilac Ln
Little Chute, WI 54140-1118

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X790-019 (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 1609989227

Lori Ann Dissen, PTA, CWT's National Provider Identifier is 1609989227, issued on Aug 16, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Appleton, WI. The record was last updated on Jul 8, 2007.