IndividualActive
Eric Green, P.T.A.
NPI 1235483793 · Physical Therapy Assistant · Madison, FL
Provider details
- NPI number
- 1235483793
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.A.
- Sex
- Male
- Sole proprietor
- No
- License
- PTA23651 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
257 Sw Dade St
Madison, FL 32340-2361
Phone: (850) 973-3316
Fax: (850) 973-1261
Approximate (ZIP-level) locationGet directions
Mailing address
3334 Capital Medical Blvd
Tallahassee, FL 32308-8405
Registry dates
- Enumerated
- 2012-11-06
- Last updated
- 2012-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.