National Provider Identifier
Owen Green, PT, DPT
Owen Green, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Kenmore, NY and a listed phone number of (716) 803-8220.
Profile Overview
- NPI
- 1700661949
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 28, 2023
- Last Updated
- August 28, 2023
Practice Location
- 2075 Sheridan Dr
- Kenmore, NY 14223-1425
Phone: (716) 803-8220
Mailing Address
- 61 Forestview Ct
- Williamsville, NY 14221-1445
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1700661949
- Entity Type
- Individual
- Last Name
- Green
- First Name
- Owen
- Credential
- PT, DPT
- Mailing Street Address
- 61 Forestview Ct
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-1445
- Mailing Country
- US
- Mailing Phone
- (716) 939-0099
- Practice Street Address
- 2075 Sheridan Dr
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14223-1425
- Practice Country
- US
- Practice Phone
- (716) 803-8220
- Enumeration Date
- August 28, 2023
- Last Updated
- August 28, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- August 27, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)