NPI 1013507441
Kathren Green, PTA
Practice location
- Address
- 2221 W Detroit St, Broken Arrow, OK 74012-3628
- Phone
- (918) 615-6492
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1013507441
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Jan 2021
- Record last updated
- 20 Jan 2021
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.