Katherine Green, PTA

NPI #1093103301 in Independence, Missouri

Provider Information

NPI Number: 1093103301
Entity Type: Individual
Name: Katherine Green, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 8, 2015
Last Updated: Jan 8, 2015

Practice Location

Address: 810 E WALNUT ST
City: Independence
State: Missouri
ZIP Code: 64050-4025
Phone: (951) 545-4013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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