Joanna Renee Vonseggern, PTA
Physical Therapy Assistant in Coos Bay, OR. Individual provider (NPI-1).
NPI number1053918367
StatusActive
Last updated in NPPESOct 8, 2020
Details
- NPI
- 1053918367
- Entity type
- Individual (NPI-1)
- Name
- Joanna Renee Vonseggern
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2020
- Certification date
- Oct 8, 2020
- Last updated
- Oct 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 9849 | OR | Yes |
| 225200000X | Physical Therapy Assistant | PTP-PTA-LIC-17197 | MT |
Other names
- Joanna Renee Grote (Former Name)
Practice location
2625 Koos Bay BlvdCoos Bay, OR 97420-4907
Phone 541-267-2161
Mailing address
25117 Sw Parkway Ave Ste DWilsonville, OR 97070-9697
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Coos Bay, OR
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.