Individual
ALICIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2531 EAGLES NEST CT, MIDLOTHIAN, TX 76065-4707
(972) 571-3678
Mailing address
2531 EAGLES NEST CT, MIDLOTHIAN, TX 76065-4707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1279707
TX
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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