NPI 1134246648

Therese Anne-Collins Green, PTA

Practitioner Contractor San Diego, CA

Practice location

Address: 4655 Ruffner St STE 270, San Diego, CA 92111-2276
Phone: (800) 787-6787
Mailing address: 1381 Pritchett CT, Los Altos, CA 94024-5712

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 5270 (CA)

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Registry record

NPI: 1134246648
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Mar 2007
Record last updated: 8 Jul 2007

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.