Individual provider · Type 1 NPI

Jennifer A. Leach, PTA

Physical Therapy Assistant · Peoria, IL

NPI number 1780913509 Active

Practice location

5409 N Knoxville Ave, Ste 400
Peoria, IL 61614

Call (309) 692-6644 Map

Fax (309) 692-3320

Mailing address

5401 N Knoxville, Ste 400
Peoria, IL 61614-5021

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160002608 (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 1780913509

Jennifer A. Leach, PTA's National Provider Identifier is 1780913509, issued on Dec 8, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Peoria, IL. The record was last updated on Dec 8, 2009.