Kathren Green, PTA

NPI #1013507441 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1013507441
Entity Type: Individual
Name: Kathren Green, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 20, 2021
Last Updated: Jan 20, 2021

Practice Location

Address: 2221 W DETROIT ST
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-3628
Phone: (918) 615-6492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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