Individual provider · Type 1 NPI

Keroles Hanna, PTA

Physical Therapy Assistant · Crestwood, IL

NPI number 1679040463 Active

Practice location

14255 Cicero Ave
Crestwood, IL 60418-2154

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.008306 (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 1679040463

Keroles Hanna, PTA's National Provider Identifier is 1679040463, issued on Oct 30, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Crestwood, IL. The record was last updated on Oct 30, 2018.