Individual provider · Type 1 NPI

Mary Jolynn Pentecost, PTA

Physical Therapy Assistant · Herrin, IL

NPI number 1790933869 Active

Practice location

1901 N. 13th St.
Herrin, IL 62948

Fax (618) 942-8240

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.002625 (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 1790933869

Mary Jolynn Pentecost, PTA's National Provider Identifier is 1790933869, issued on Sep 3, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Herrin, IL. The record was last updated on Sep 3, 2008.