Individual
REBEKAH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 13TH ST, ASHLAND, KY 41102-4510
(606) 325-0910
(606) 325-8434
Mailing address
PO BOX 1240, ASHLAND, KY 41105-1240
(606) 325-7955
(606) 325-9848
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
007672
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007672
PHYSICAL THERAPY LICENSE
KY
Enumeration date
06/05/2019
Last updated
06/05/2019
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