Provider Demographics
NPI:1407923816
Name:GREER, LINDA DIANE (AT,C,PTA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:DIANE
Last Name:GREER
Suffix:
Gender:F
Credentials:AT,C,PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 RANCHO SAN DIEGO PKWY
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-4369
Mailing Address - Country:US
Mailing Address - Phone:619-818-3892
Mailing Address - Fax:619-660-4709
Practice Address - Street 1:900 RANCHO SAN DIEGO PKWY
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92019-4369
Practice Address - Country:US
Practice Address - Phone:619-818-3892
Practice Address - Fax:619-660-4709
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2255A2300X
CAAT2409225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Not Answered225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant