Individual
TAMMY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1025 ANDREW DR, WEST CHESTER, PA 19380-4283
(484) 319-0680
Mailing address
1434 COURTLAND PL, WEST CHESTER, PA 19380-1609
(484) 319-0680
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
PA
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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