Individual
BRIAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CAMP PENDLETON NORTH, 52 AREA SMART CLINIC, OCEANSIDE, CA 92058
(814) 574-6049
Mailing address
52 SMART CLINIC, CAMP PENDLETON NORTH, OCENANSIDE, CA 92055
(814) 574-6049
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28075
CA
Other
Enumeration date
10/12/2021
Last updated
10/23/2023
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