Individual
EMMA L GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
780 S ARROYO PKWY, SUITES B AND C, PASADENA, CA 91105-3232
(323) 528-6758
Mailing address
30 VICTORIA LN, SIERRA MADRE, CA 91024
(323) 528-6758
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT33369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT33369
STATE LICENSE
CA
Enumeration date
06/27/2007
Last updated
02/14/2022
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