NPI 1598129512

Brooke L. Green, PTA

Practitioner Physical Therapy Assistant Blythewood, SC

Practice location

Address: 428-3 McNulty Road, Blythewood, SC 29016
Phone: (803) 728-0421
Fax: (803) 728-0424
Mailing address: PO Box 219 Blythewood Physical Therapy Dba: Columbia Rehabilitatio, Blythewood, SC 29016

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 3479 (SC)

Other Physical Therapy Assistant providers in South Carolina →

Registry record

NPI: 1598129512
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Apr 2016
Record last updated: 6 Apr 2016

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.