Individual provider · Type 1 NPI

Dawn Porter, PTA, ATC

Physical Therapy Assistant · Moline, IL

NPI number 1740882968 Active

Practice location

555 Valley View Dr
Moline, IL 61265-6138

Call (309) 764-9675 Map

Mailing address

4410 N Lincoln Ave
Davenport, IA 52806-4930

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160006737 (IL)
Physical Therapy Assistant 225200000XNone listed

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 1740882968

Dawn Porter, PTA, ATC's National Provider Identifier is 1740882968, issued on Nov 12, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Moline, IL. The record was last updated on Nov 12, 2020.