Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Haze Green Jr.

Individual provider Physical Therapy Assistant · NPI 1679947899

Haze Green Jr. is a Physical Therapy Assistant in Dunn Loring, Virginia. Licensed in Virginia. Registered with an NPI since 2015.

Licensed in
VA
In the registry since
2015

Practice location Address checks out

8000 Iliff Dr
Dunn Loring, VA 22027-1235
Phone: (703) 560-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306001477 (VA)

Record details

NPI number1679947899
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 27, 2015
Last updated in NPPESNovember 27, 2015
Mailing address8000 Iliff Dr, Dunn Loring, VA 22027-1235

Other providers in Dunn Loring