Individual
SYDNEY DESIRA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
300 GOOD SAMARITAN DR, MOUNTAIN HOME, AR 72653-5813
(870) 425-2494
Mailing address
305 MARSHALL ST, FLIPPIN, AR 72634-8085
(870) 405-2144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3278
AR
Other
Enumeration date
02/08/2020
Last updated
02/08/2020
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