Individual
TRACY MICHELLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1521 COUNTY ROAD 1320, AMBER, OK 73004-5525
(405) 574-2721
Mailing address
1521 COUNTY ROAD 1320, AMBER, OK 73004-5525
(405) 574-2721
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
568
OK
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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