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Deantae Green, QBA
Rehabilitation Practitioner in Yerington, Nevada
NPI 1568701217

Deantae Green is a Rehabilitation Practitioner based in Yerington, NV. Deantae Green practices in Yerington, NV and has the professional credentials of QBA. The NPI Number for Deantae Green is 1568701217 and holds a License No. (Nevada).

The current practice location address for Deantae Green is 100 Rosaschi Rd, Yerington, NV and can be reached out via phone at 800-507-8662 and via fax at 775-463-2379.

Location: 100 Rosaschi Rd, Yerington, NV, 89447-8722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568701217
Provider Name
Deantae Green
Credential
QBA
Provider Entity Type
Individual
Gender
Male
Address
100 Rosaschi Rd, Yerington, NV, 89447-8722
Phone Number
800-507-8662
Fax Number
775-463-2379
Provider Enumeration Date
01/31/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1568549111 05 NV
institution
Provider Business Practice Location Address Details
Address
100 Rosaschi Rd
City
Yerington
State
Nevada
Zip
89447-8722
Phone Number
800-507-8662
Fax Number
775-463-2379
person
Provider Business Mailing Address Details
Address
100 Rosaschi Rd
City
Yerington
State
Nevada
Zip
89447-8722
Phone Number
800-507-8662
Fax Number
775-463-2379
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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