Individual
MR. BRIAN DANIEL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
289 WINDYWOOD RD, BARRE, VT 05641-9619
(207) 712-9808
Mailing address
289 WINDYWOOD RD, BARRE, VT 05641-9619
(207) 712-9808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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