Individual provider · Type 1 NPI

Brenda J. Tatham, PTA

Physical Therapy Assistant · Freeport, IL

NPI number 1851531495 Active

Practice location

1010 Fairway Dr
Freeport, IL 61032

Mailing address

1045 W Stephenson St, PO Box 857
Freeport, IL 61032-4864

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160002443 (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 1851531495

Brenda J. Tatham, PTA's National Provider Identifier is 1851531495, issued on Feb 23, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Freeport, IL. The record was last updated on Feb 23, 2009.