Individual provider · Type 1 NPI

Brody Mitchell Green, LPTA

Physical Therapy Assistant · Woodstock, GA

NPI number 1154889129 Active

Practice location

4580 Towne Lake Pkwy
Woodstock, GA 30189

Mailing address

1824 Defoor Ave NW Apt 2215
Atlanta, GA 30318-3029

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA004106 (GA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1154889129

Brody Mitchell Green, LPTA's National Provider Identifier is 1154889129, issued on Mar 7, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Woodstock, GA. The record was last updated on Mar 7, 2019.