Individual
ANDREW GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
245 WEST HWY 114, SOUTHLAKE, TX 76092
(817) 873-5311
(817) 601-7702
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT031267
PA
225100000X
Physical Therapist
Primary
—
TX
Other
Enumeration date
06/27/2023
Last updated
09/13/2024
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