Kevin O'Shea Green Sr., PTA, MLDT
Physical Therapy Assistant in Beaufort, SC. Individual provider (NPI-1).
NPI number1447210489
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1447210489
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kevin O'Shea Green Sr.
- Credential
- PTA, MLDT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 948 | SC | Yes |
Practice location
1076 Ribaut RdBeaufort, SC 29902-5490
Phone 832-521-1970
Mailing address
133 Baynard RdBeaufort, SC 29906-6777
Phone 843-597-0993
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All 34 Physical Therapy Assistant providers in Beaufort · All 1,521 providers in Beaufort
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