Individual
CHRISTA ADELE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
208 CONCOURSE BLVD STE 2, SANTA ROSA, CA 95403-8210
(707) 303-4995
(707) 303-4996
Mailing address
208 CONCOURSE BLVD STE 2, SANTA ROSA, CA 95403-8210
(707) 303-4995
(707) 303-4996
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT298197
CA
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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