Individual
MEGAN NICOLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
213 E REDWOOD AVE, SALLISAW, OK 74955-2811
(918) 774-1160
Mailing address
213 E REDWOOD AVE, SALLISAW, OK 74955-2811
(918) 774-1160
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3655
OK
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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