Grace Ann Green, PTA

NPI #1407336878 in Edna, Texas

Provider Information

NPI Number
1407336878
Entity Type
Individual
Name
Grace Ann Green, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 15, 2018
Last Updated
Aug 15, 2018

Practice Location

Address
1401 W MAIN ST
City
Edna
State
Texas
ZIP Code
77957-2454
Phone
(361) 782-7614

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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