DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: THERESE ANNE-COLLINS GREEN PTA

MEDICARE: THERESE ANNE-COLLINS GREEN PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171W00000XContractor5270CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15270OTHERCAPTA LICENSE

General Provider Information

NPI Number : 1134246648
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESE ANNE-COLLINS GREEN PTA
Provider Business Mailing Address
First Line : 1381 PRITCHETT CT
Second Line :
City : LOS ALTOS
State : CA
Zip : 94024-5712
Country : US
Telephone Number : 650-965-0140
Fax Number :
Provider Business Practice Location Address
First Line : 4655 RUFFNER ST STE 270
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-2276
Country : US
Telephone Number : 800-787-6787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1639296841 — SUSANA GONZALEZ COTAL
Practice Location Address:
4655 RUFFNER ST STE 270
SAN DIEGO, CA
92111-2276
Practice Phone: 800-787-6787
Practice Fax:
1841403383 — TERESA ODONNELL COTA
Practice Location Address:
4655 RUFFNER ST STE 270
SAN DIEGO, CA
92111-2276
Practice Phone: 800-787-6787
Practice Fax:
1952502973 — BERNICE LOPEZ PTA
Practice Location Address:
4655 RUFFNER ST STE 270
SAN DIEGO, CA
92111-2276
Practice Phone: 800-787-6787
Practice Fax:
1033314687 — MR. KINSHUK GUPTA M.P.T.
Practice Location Address:
4655 RUFFNER ST STE 270
SAN DIEGO, CA
92111-2276
Practice Phone: 800-787-6787
Practice Fax:
1720284326 — RICHARD O'NEAL IRBY P.T.A.
Practice Location Address:
4655 RUFFNER ST STE 270
SAN DIEGO, CA
92111-2276
Practice Phone: 800-787-6787
Practice Fax:
1003137043 — AMY FOSE PTA
Practice Location Address:
4655 RUFFNER ST STE 270
SAN DIEGO, CA
92111-2276
Practice Phone: 800-787-6787
Practice Fax:

Directions to “ THERESE ANNE-COLLINS GREEN PTA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.