Individual provider · Type 1 NPI

Tessa Lynn Defore, PTA

Physical Therapy Assistant · Vincennes, IN

NPI number 1821161563 Active

Practice location

406 N 1st St, Suite B
Vincennes, IN 47591-1340

Call (812) 885-2770 Map

Fax (812) 886-4958

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06003155A (IN)

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 1821161563

Tessa Lynn Defore, PTA's National Provider Identifier is 1821161563, issued on Nov 17, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Vincennes, IN. The record was last updated on Jul 8, 2007.