Whalio Doctors

NPI 1043825748

Christa Adele Green, PT

Practitioner Physical Medicine & Rehabilitation Physician Santa Rosa, CA

Practice location

Address
208 Concourse Blvd STE 2, Santa Rosa, CA 95403-8210
Phone
(707) 303-4995
Fax
(707) 303-4996

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence PT298197 (CA)

Registry record

NPI
1043825748
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Sep 2020
Record last updated
10 Sep 2020

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.