Individual
MEGAN MARIE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
435 LAS PALMAS DR, IRVINE, CA 92602-2314
(714) 943-1960
Mailing address
435 LAS PALMAS DR, IRVINE, CA 92602-2314
(714) 943-1960
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT9549
CA
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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