Individual
MRS. LISA HARTLEY GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
333 E LEE AVE, YADKINVILLE, NC 27055-8132
(336) 927-3396
Mailing address
238 GENE HARTLEY RD, BOOMER, NC 28606-8198
(336) 927-3396
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2928
NC
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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