IndividualActive
Angela Green
NPI 1922364074 · Pediatric Physical Therapist · Crockett, TX
Provider details
- NPI number
- 1922364074
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1090363 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2001 E Houston Ave
Crockett, TX 75835-5130
Phone: (800) 259-2423
Approximate (ZIP-level) locationGet directions
Mailing address
2001 E Houston Ave
Crockett, TX 75835-5130
Registry dates
- Enumerated
- 2012-04-03
- Last updated
- 2013-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.