Toni Green PTA

NPI 1043555758 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1043555758
Gender Female
Enumeration Date 12/06/2012
Last Updated 12/06/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
400 S 74TH ST
BELLEVILLE IL, 62223, US
Phone (618) 580-9629
Fax
Business Location
400 S 74TH ST
BELLEVILLE IL, 62223, US
Phone (618) 580-9629
Fax
Toxanomy
Taxonomy Code 225200000X
License State Illinois
License Number 160.007384
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According to our database, Mrs. Toni Green PTA NPI is 1043555758, taxonomy code is 225200000X and license number is 160.007384, license state is located at Illinois. Toni Green PTA physically located at 400 S 74th St, Belleville IL, 62223. NPI Number Toni Green PTA has the Individual type.

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1043555758 NPI number is provided on an as is basis without warranty of any kind. 1043555758 is maintained by the National Plan & Provider Enumeration System. The contents of Toni Green PTA are for informational purposes only.