Individual provider · Type 1 NPI

Roxanne Nicole Greene

Pediatric Physical Therapist · Mesa, AZ

NPI number 1679099402 Active

Practice location

2642 E Fairfield St
Mesa, AZ 85213

Fax (480) 393-7040

Mailing address

PO Box 267
Queen Creek, AZ 85142-1805

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X13242 (AZ)
Pediatric Physical Therapist Primary 2251P0200X13242 (AZ)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1679099402

Roxanne Nicole Greene's National Provider Identifier is 1679099402, issued on Aug 14, 2017. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Mesa, AZ. The record was last updated on May 31, 2022.