Organization
LISA GREEN PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA GREEN PT, MOMT, MPT, ATC (PRESIDENT)
(650) 851-1145
Entity
Organization
Contact information
Practice address
108 PORTOLA RD, PORTOLA VALLEY, CA 94028-7825
(650) 851-1145
(650) 851-9251
Mailing address
108 PORTOLA RD, PORTOLA VALLEY, CA 94028-7825
(650) 851-1145
(650) 851-9251
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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