NPI 1376250852

Cory James Green, PTA

Practitioner Physical Therapy Assistant Council Bluffs, IA

Practice location

Address: 3000 Risen Son Blvd, Council Bluffs, IA 51503-1911
Phone: (712) 366-9655

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 005132 (IA)

Other Physical Therapy Assistant providers in Iowa →

Registry record

NPI: 1376250852
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2022
Record last updated: 3 Nov 2022

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.