NPI 1790064061 DESTINE GREEN DPT MAGNOLIA TX. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Destine Green - NPI: 1790064061

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DESTINE GREEN
NPI Number: 1790064061
Entity Type Code: Individual (1)
Gender: F
Credentials: DPT
License Number: 1171880
Business Practice Address: 827 Magnolia Blvd
827 S. Magnolia Blvd Magnolia, TX - 773558602
Business Phone Number: 2812770751
Business Fax Number: 2812770761
Mailing Address: 827 Magnolia Blvd, 827 S. Magnolia Blvd
MAGNOLIA
State: TX
Postal Code: 773558602
Phone Number: 2812770751
Fax Number: 2812770761
NPI Enumeration Date: 08/04/2011
NPI Last Update Date: 08/04/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 225100000X
License Number: 1171880
Healthcare Provider Taxonomy:
(Secondary)
Y
State: TX
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


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