Beth Ann Marie Green PTA

NPI 1033177324 - Specialist - 174400000X

NPI Details
NPI 1033177324
Gender Female
Enumeration Date 05/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
DICKSON CITY PA, 18519-1620, US
Phone (570) 307-1769
Fax (570) 307-1771
Business Location
RR 3 BOX 114
DALTON PA, 18414-9415, US
Phone (570) 378-3242
Fax (570) 307-1771
Taxonomy Code 174400000X
License State Pennsylvania
License Number TE001143L
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According to our database, Beth Ann Marie Green PTA NPI is 1033177324, taxonomy code is 174400000X and license number is TE001143L, license state is located at Pennsylvania. Beth Ann Marie Green PTA physically located at 334 Main St, Dickson City PA, 18519-1620. NPI Number Beth Ann Marie Green PTA has the Individual type.

1033177324 NPI number is provided on an as is basis without warranty of any kind. 1033177324 is maintained by the National Plan & Provider Enumeration System. The contents of Beth Ann Marie Green PTA are for informational purposes only.