Individual
DUSTIN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
31964 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3730
(727) 786-2503
Mailing address
11711 CAMPHOR WAY, SEMINOLE, FL 33772-5726
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT37307
FL
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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