Individual
MR. BRYAN LYNN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
231 34TH AVE SW, NORMAN, OK 73072-4843
(405) 593-8353
(888) 558-6690
Mailing address
231 34TH AVE SW, NORMAN, OK 73072-4843
(512) 924-8890
(888) 558-6690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4093
OK
2251G0304X
Geriatric Physical Therapist
4093
OK
2251S0007X
Sports Physical Therapist
4093
OK
2251X0800X
Orthopedic Physical Therapist
4093
OK
Other
Enumeration date
07/18/2007
Last updated
04/06/2024
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