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Individual

MRS. AMY J GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.P.T.

Contact information

Practice address
535 E NORTH ST STE C, BRADLEY, IL 60915-1188
(815) 802-7503
(815) 802-7514
Mailing address
535 E NORTH ST STE C, BRADLEY, IL 60915-1188
(815) 802-7503
(815) 802-7514

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.006337
IL

Other

Enumeration date
10/05/2017
Last updated
11/18/2021
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