Eric L Green, P.T.A.

NPI #1235483793 in Madison, Florida

Provider Information

NPI Number: 1235483793
Entity Type: Individual
Name: Eric L Green, P.T.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: P.T.A.
Enumeration Date: Nov 6, 2012
Last Updated: Nov 6, 2012

Practice Location

Address: 257 SW DADE ST
City: Madison
State: Florida
ZIP Code: 32340-2361
Phone: (850) 973-3316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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