Individual
KATHERINE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
617 E RIVERSIDE DR STE 302, ST GEORGE, UT 84790-8722
(435) 652-6024
Mailing address
435 EL CAMINITO, LIVERMORE, CA 94550-5312
(925) 667-8460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11647118-2410
UT
Other
Enumeration date
03/02/2020
Last updated
08/25/2021
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