Individual provider · Type 1 NPI

Latanya J. Green

Rehabilitation Practitioner · Yucca Valley, CA

NPI number 1386781102 Active

Practice location

58945 Business Center Dr Ste D
Yucca Valley, CA 92284-7310

Call (760) 228-9657 Map

Fax (760) 369-6758

Mailing address

73194 Sun Valley Dr
Twentynine Palms, CA 92277-2228

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1386781102

Latanya J. Green's National Provider Identifier is 1386781102, issued on Jan 31, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Yucca Valley, CA. The record was last updated on Sep 5, 2012.