Individual provider · Type 1 NPI

Mary Samulak, PTA

Physical Therapy Assistant · Glenview, IL

NPI number 1871944934 Active

Practice location

3703 W Lake Ave, SUITE200
Glenview, IL 60026-5823

Call (847) 998-1188 Map

Mailing address

3400 W Stonegate Blvd, Apt 219
Arlington Heights, IL 60005-1045

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.007492 (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 1871944934

Mary Samulak, PTA's National Provider Identifier is 1871944934, issued on Jun 29, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Glenview, IL. The record was last updated on Jun 29, 2016.