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Individual

MS. SYDNEY KATE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
4000 LAKE BEAU PRE BLVD, BATON ROUGE, LA 70820-4265
(337) 962-0232
Mailing address
4000 LAKE BEAU PRE BLVD, BATON ROUGE, LA 70820-4265
(337) 962-0232

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09419R
LA

Other

Enumeration date
07/08/2016
Last updated
01/14/2019
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