Individual
KATHLEEN O'NEILL GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
500 WALTON WAY, ROSWELL, GA 30076-3418
(470) 306-0652
Mailing address
215 JEFFREY DR, WOODSTOCK, GA 30188-2323
(423) 718-2690
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT006568
GA
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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