Individual provider · Type 1 NPI

Jessica Wallbaum

Physical Therapy Assistant · Streator, IL

NPI number 1962969246 Active

Practice location

1525 E Main St
Streator, IL 61364-3162

Call (815) 672-4516 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X160.008001 (IL)
Physical Therapy Assistant Primary 225200000X160008001 (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 1962969246

Jessica Wallbaum's National Provider Identifier is 1962969246, issued on Feb 22, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Streator, IL. The record was last updated on Feb 22, 2019.