Stacy Wayne Green, PTA
NPI #1568937050 in Gainesville, Texas
Provider Information
- NPI Number
- 1568937050
- Entity Type
- Individual
- Name
- Stacy Wayne Green, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Oct 10, 2018
- Last Updated
- Oct 10, 2018
Practice Location
- Address
- 1907 REFINERY RD
- City
- Gainesville
- State
- Texas
- ZIP Code
- 76240-2111
- Phone
- (940) 665-9314
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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