Preston Blake Green, PTA

NPI #1972250579 in Denison, Texas

Provider Information

NPI Number
1972250579
Entity Type
Individual
Name
Preston Blake Green, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Mar 4, 2022
Last Updated
Mar 4, 2022

Practice Location

Address
2300 W MORTON ST STE 114
State
Texas
ZIP Code
75020-1671
Phone
(903) 462-4085

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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