Individual
SANDRA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
E-RYT 200 YOGA TEACH
Contact information
Practice address
3 SUNSET LN, POMPANO BEACH, FL 33062-7344
(305) 684-3688
Mailing address
3 SUNSET LN, POMPANO BEACH, FL 33062-7344
(305) 684-3688
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
46583
FL
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
2255A2300X
Athletic Trainer
46583
FL
Other
Enumeration date
03/03/2012
Last updated
03/03/2012
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