Individual provider · Type 1 NPI

Cicero Offemaria Bermundo

Physical Therapy Assistant · Danville, IL

NPI number 1720588304 Active

Practice location

620 Warrington Ave
Danville, IL 61832-5446

Call (217) 446-0660 Map

Mailing address

511 Lawndale Dr
Danville, IL 61832-2244

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X043112534 (IL)
Physical Therapy Assistant Primary 225200000X160.007924 (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 1720588304

Cicero Offemaria Bermundo's National Provider Identifier is 1720588304, issued on Feb 20, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Danville, IL. The record was last updated on Feb 20, 2018.