Individual
MR. ROBERT GARRARD GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2295 FOOTHILL DRIVE, SALT LAKE CITY, UT 84109
(801) 467-8207
(801) 467-8225
Mailing address
2295 FOOTHILL DRIVE, SALT LAKE CITY, UT 84109
(801) 467-8207
(801) 467-8225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1106212401
UT
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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