Green, Risa Michele

Green, Risa Michele is an individual health care provider with primary practice located at 915 Gordon Ave , Thomasville GA 31792-6614. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Green, Risa Michele can be contacted via phone (229) 228-8050.

Contact Information

Primary practice address
915 Gordon Ave Thomasville GA 31792-6614
Phone: (229) 228-8050
Fax: (229) 228-8594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT008765 Georgia

Profile Details

NPI number 1487798336
LBN Legal business name Green, Risa Michele
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487798336 NPPES
Georgia Other PT008765 LICENSE

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