Individual
WENDI GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7837 DAYTONA ST NW, MASSILLON, OH 44646-2331
(330) 830-6482
Mailing address
7837 DAYTONA ST NW, MASSILLON, OH 44646-2331
(330) 830-6482
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA01392
OH
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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