Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LISA DIANE GREEN, MOMT, MPT, ATC
ActiveMS. LISA DIANE GREEN, MOMT, MPT, ATC is a Ergonomics (Occupational Therapy) healthcare provider located in PORTOLA VALLEY, California. NPI 1528193240 is currently active in the NPPES registry. Verify at CMS.
Ergonomics (Occupational Therapy) · PORTOLA VALLEY, CA
Registration Details
- NPI Number
- 1528193240
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 22, 2007 (19.291875865798 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PT18800 (CA)
Practice Information
- Address
-
150 PORTOLA RDSTE. BPORTOLA VALLEY, CA, 940287852Browse CA providers · Browse ZIP 94028
- Phone
- 6508511145
- Fax
- 6508519251
- Primary Specialty
-
Ergonomics (Occupational Therapy)
2251X0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.