NPI 1184393209

Eboni Da'Shaun Green, LPTA

Practitioner Physical Therapy Assistant Montgomery, AL

Practice location

Address: 520 S Hull St, Montgomery, AL 36104-4610
Phone: (334) 834-2920
Mailing address: 3912 Narrow Lane Rd, Montgomery, AL 36111-2644

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA10477 (AL)

Other Physical Therapy Assistant providers in Alabama →

Registry record

NPI: 1184393209
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Sep 2021
Record last updated: 11 Sep 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.