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Individual

MRS. KATHLEEN M. GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2700 WYNFIELD RD, WEST FRIENDSHIP, MD 21794-9519
(410) 442-9959
Mailing address
2700 WYNFIELD RD, WEST FRIENDSHIP, MD 21794-9519
(410) 442-9959

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14235
MD

Other

Enumeration date
09/26/2007
Last updated
09/26/2007
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