Healthcare Provider Details

I. General information

NPI: 1407923816
Provider Name (Legal Business Name): LINDA DIANE GREER A.T.,C.,P.T.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 RANCHO SAN DIEGO PKWY
EL CAJON CA
92019-4369
US

IV. Provider business mailing address

900 RANCHO SAN DIEGO PKWY
EL CAJON CA
92019-4369
US

V. Phone/Fax

Practice location:
  • Phone: 619-818-3892
  • Fax: 619-660-4709
Mailing address:
  • Phone: 619-818-3892
  • Fax: 619-660-4709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberAT2409
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: