Individual
STEPHANIE MANUELA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6379 CENTER DR, NORFOLK, VA 23502-4102
(757) 467-4200
Mailing address
6379 CENTER DR, NORFOLK, VA 23502-4102
(757) 467-4200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
VA
Other
Enumeration date
02/03/2023
Last updated
12/19/2025
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