Individual
MS. PATRICIA S. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8663 MIDDLEBROOK PIKE, KNOXVILLE, TN 37923-1612
(865) 801-9380
(865) 381-0707
Mailing address
8663 MIDDLEBROOK PIKE, KNOXVILLE, TN 37923-1612
(865) 801-9380
(865) 381-0707
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1617
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3652725
—
TN
01
—
82995
BLUE CROSS
TN
01
—
CH4394
MEDICARE-RAILROAD GROUP ID
TN
Enumeration date
05/16/2006
Last updated
02/16/2019
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