Individual
EMILY MARGARET GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
311 COOPER RD, LOGANVILLE, GA 30052-4976
(770) 207-6390
(678) 374-4855
Mailing address
1045 OLD MILL TRCE, MONROE, GA 30656-4379
(770) 207-6390
(678) 374-4855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010686
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT010686
GEORGIA LICENSE
GA
Enumeration date
03/08/2013
Last updated
03/08/2013
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