Individual
RICHARD WAYNE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11461 KING WAY, WESTMINSTER, CO 80031-7148
(802) 782-4977
Mailing address
11461 KING WAY, WESTMINSTER, CO 80031-7148
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012880
CO
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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