Individual provider · Type 1 NPI

Destiny M. Boneta

Physical Therapy Assistant · Oak Lawn, IL

NPI number 1861225815 Active

Practice location

9624 S Cicero Ave
Oak Lawn, IL 60453-3138

Mailing address

9624 S Cicero Ave # 341
Oak Lawn, IL 60453-3138

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 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 1861225815

Destiny M. Boneta's National Provider Identifier is 1861225815, issued on Aug 24, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Oak Lawn, IL. The record was last updated on Aug 24, 2024.