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Ms. Lisa Diane Green, MOMT,MPT,ATC
Orthopedic Physical Therapist in Portola Valley, California
NPI 1528193240

Lisa Diane Green is a Orthopedic Physical Therapist based in Portola Valley, CA and is specialized in Orthopedic. Lisa Diane Green practices in Portola Valley, CA and has the professional credentials of MOMT,MPT,ATC. The NPI Number for Lisa Diane Green is 1528193240 and holds a License No. PT18800 (California).

The current practice location address for Lisa Diane Green is 150 Portola Rd, Portola Valley, CA and can be reached out via phone at 650-851-1145 and via fax at 650-851-9251.

Location: 150 Portola Rd, Portola Valley, CA, 94028-7852
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528193240
Provider Name
Lisa Diane Green
Credential
MOMT,MPT,ATC
Provider Entity Type
Individual
Gender
Female
Address
150 Portola Rd, Portola Valley, CA, 94028-7852
Phone Number
650-851-1145
Fax Number
650-851-9251
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
150 Portola Rd
City
Portola Valley
State
California
Zip
94028-7852
Phone Number
650-851-1145
Fax Number
650-851-9251
person
Provider Business Mailing Address Details
Address
150 Portola Rd
City
Portola Valley
State
California
Zip
94028-7852
Phone Number
650-851-1145
Fax Number
650-851-9251
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
PT18800 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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