Individual
MR. ALEXANDER RYAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
7500 SW 30TH ST, DAVIE, FL 33314-1020
(610) 392-9785
Mailing address
1320 SW 82ND TER, APT 423, PLANTATION, FL 33324-3251
(610) 392-9785
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4493
FL
2255A2300X
Athletic Trainer
AT1168
KY
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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