Individual
AMY REBECCA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3638 HANOVER DR, GAINESVILLE, GA 30506-3674
(678) 640-6760
Mailing address
3638 HANOVER DR, GAINESVILLE, GA 30506-3674
(678) 640-6760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008360
GA
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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