Individual
DR. RANDY A GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DSCPT
Contact information
Practice address
2990 N CAMPBELL AVE STE 220, TUCSON, AZ 85719-2995
(520) 822-8640
(520) 822-8641
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1081230
TX
Other
Enumeration date
01/23/2006
Last updated
07/01/2024
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