Individual provider · Type 1 NPI

Eboni Da'shaun Green, LPTA

Physical Therapy Assistant · Montgomery, AL

NPI number 1184393209 Active

Practice location

520 S Hull St
Montgomery, AL 36104-4610

Mailing address

3912 Narrow Lane Rd
Montgomery, AL 36111-2644

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA10477 (AL)

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 1184393209

Eboni Da'shaun Green, LPTA's National Provider Identifier is 1184393209, issued on Sep 11, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Montgomery, AL. The record was last updated on Sep 11, 2021.