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Individual

JOSHUA D GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
795 LITTLE COYOTE RD, BIG SKY, MT 59716
(406) 995-7525
(406) 995-7528
Mailing address
PO BOX 160431, BIG SKY, MT 59716-0431
(406) 995-7525
(406) 995-7528

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1725PT
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3402256
MT
Enumeration date
10/19/2006
Last updated
07/08/2007
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