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Organization
GREEN PHYSICAL THERAPY, INC.
Active
Organization
GREEN PHYSICAL THERAPY, INC.
Active
Other names
Green Physical Therapy and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
GLYNISS CLAUDETTE GREEN PT, DPT, OCS (CEO / PHYSICAL THERAPIST)
(951) 379-1500
Entity
Organization
Contact information
Practice address
23100 EUCALYPTUS AVE STE C, MORENO VALLEY, CA 92553-5439
(951) 379-1500
(951) 379-1501
Mailing address
23100 EUCALYPTUS AVE STE C, MORENO VALLEY, CA 92553-5439
(951) 379-1500
(951) 379-1501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22650
CA
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
22650
CA
2251X0800X
Orthopedic Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/01/2018
Last updated
08/20/2026
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