Individual
ROBERT GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14841 179TH AVE SE STE 340, MONROE, WA 98272-1127
(360) 794-7520
(360) 794-8947
Mailing address
14841 179TH AVE SE STE 340, MONROE, WA 98272-1127
(360) 794-7520
(360) 794-8947
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160961012
WA
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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