MS. Lisa Diane Green, MOMT, MPT, ATC

NPI #1528193240 in Portola Valley, California

Provider Information

NPI Number: 1528193240
Entity Type: Individual
Name: MS. Lisa Diane Green, MOMT, MPT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist - Orthopedic
Credential: MOMT, MPT, ATC
Enumeration Date: Feb 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 150 PORTOLA RD
Address 2: STE. B
City: Portola Valley
State: California
ZIP Code: 94028-7852
Phone: (650) 851-1145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Orthopedic — Orthopedic	2251X0800X	Primary

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MS. Cheryl Denise Tibbetts, P.T.	Physical Therapist - Orthopedic	Scotts Valley	AI Deep Dive
Geoffrey Michael Kandes, D.P.T.	Physical Therapist - Orthopedic	San Diego	AI Deep Dive
MR. Arthur William Baudendistel, PT, DCS, COMT	Physical Therapist - Orthopedic	Carmichael	AI Deep Dive

Organizations

Provider Name	Specialty	City
Lisa Green Physical Therapy, PC	Physical Therapist - Orthopedic	Portola Valley	AI Deep Dive
Proformance Physical Therapy and Rehabilitation, Inc.	Physical Therapist - Orthopedic	Los Angeles	AI Deep Dive

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