Individual provider · Type 1 NPI

Eric L. Green, P.T.A.

Physical Therapy Assistant · Madison, FL

NPI number 1235483793 Active

Practice location

257 SW Dade St
Madison, FL 32340-2361

Fax (850) 973-1261

Mailing address

3334 Capital Medical Blvd, Suite 300
Tallahassee, FL 32308-8405

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA23651 (FL)

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 1235483793

Eric L. Green, P.T.A.'s National Provider Identifier is 1235483793, issued on Nov 6, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Madison, FL. The record was last updated on Nov 6, 2012.