NPI 1003886011
Randy a Green, DSCPT
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
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.