Individual
MS. ELIZABETH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
6154 LAUREN LN, REX, GA 30273-1255
(678) 778-3737
Mailing address
6154 LAUREN LN, REX, GA 30273-1255
(678) 778-3737
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007808
GA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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