Individual
MELISSA F GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
116 ENTERPRISE CT, GREENWOOD, SC 29649-1666
(864) 388-9433
(864) 388-9367
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(610) 991-2034
(610) 438-2046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4988
SC
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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