Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WYATT EZARA GREENE, PT, DPT
ActiveWYATT EZARA GREENE, PT, DPT is a Physical Therapy Assistant healthcare provider located in ASHBURN, Virginia. NPI 1699284802 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ASHBURN, VA
Registration Details
- NPI Number
- 1699284802
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2017 (8.8942580250179 yrs)
- Last Updated
- Jul 29, 2020
- License
-
2305211504 (VA)
Practice Information
- Address
-
22556 AMENDOLA TER STE 150ASHBURN, VA, 201482413Browse VA providers · Browse ZIP 20148
- Phone
- 5714659289
- Fax
- 5714659297
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ASHBURN, VA
| Name | Credential | NPI |
|---|---|---|
| MR. ARTHUR CLARENCE BRONSORD | P.T. | 1104822873 |
| BRIAN JOSEPH ROUSE | MSPT | 1346248770 |
| MRS. SHERYL SAMMARCO MORAN | P.T. | 1003816455 |
| CRYSTAL A NEMIROFF | PT | 1598766800 |
| DR. MICHELLE CELESTE MCGREGOR | DPT | 1770566051 |
| MR. ANDREW IAN DOMBEK | MSPT | 1306801857 |
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.