Individual
CHAUNCEY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
708 WINDOVER RD STE A, JONESBORO, AR 72401-6064
(870) 336-0238
(870) 336-0239
Mailing address
708 WINDOVER RD STE A, JONESBORO, AR 72401-6064
(870) 336-0238
(870) 336-0239
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA#2493
AR
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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