Individual
MS. JAIME RACINE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
350 IRON ST, NEGAUNEE, MI 49866-1830
(906) 401-0196
(906) 401-0276
Mailing address
820 CARP RIVER LN STE 2, ISHPEMING, MI 49849-3187
(906) 401-0196
(906) 401-0276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011232
MI
Other
Enumeration date
07/15/2005
Last updated
08/11/2015
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