Individual
KATIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1532 S GREEN BAY RD, STE 200, MT PLEASANT, WI 53406-4468
(262) 321-0240
(708) 283-9971
Mailing address
1532 S GREEN BAY RD, STE 200, MT PLEASANT, WI 53406-4468
(708) 283-9971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-019219
IL
Other
Enumeration date
08/06/2012
Last updated
06/25/2020
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