Individual provider · Type 1 NPI

Diane Marola Bullock

Physical Therapy Assistant · Elmhurst, IL

NPI number 1669643714 Active

Practice location

1200 S York St
Elmhurst, IL 60126-5626

Call (630) 646-1141 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160003333 (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 1669643714

Diane Marola Bullock's National Provider Identifier is 1669643714, issued on Mar 17, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Elmhurst, IL. The record was last updated on Jun 8, 2025.