Doctor Name: | MRS. PRINCE ELLA GREEN |
NPI Number: | 1366562217 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PT19439 |
Business Practice Address: | 4047 Ockeechobee Blvd Suite 123 West Palm Beach, FL - 33409 |
Business Phone Number: | 5613850868 |
Business Fax Number: | |
Mailing Address: | 4047 Ockeechobee Blvd, Suite 123 WEST PALM BEACH |
State: | FL |
Postal Code: | 33409 |
Phone Number: | 5613850868 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2007 |
NPI Last Update Date: | 05/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT19439 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |