Whalio Doctors

NPI 1003886011

Randy a Green, DSCPT

Practitioner Physical Therapist Tucson, AZ

Practice location

Address
2990 N Campbell Ave STE 220, Tucson, AZ 85719-2995
Phone
(520) 822-8640
Fax
(520) 822-8641
Mailing address
790 Remington Blvd, Bolingbrook, IL 60440-4909

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1081230 (TX)

Registry record

NPI
1003886011
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Jan 2006
Record last updated
1 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.