Individual
KAYLA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 DEVONSHIRE DR APT 205, SCOTT DEPOT, WV 25560-5600
(315) 219-6981
Mailing address
32 DEVONSHIRE DR APT 205, SCOTT DEPOT, WV 25560-5600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P18091
NC
225100000X
Physical Therapist
PT003464
WV
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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