Individual
DR. BRELAND GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
634 BACONS BRIDGE RD, SUMMERVILLE, SC 29485-4102
(843) 821-2272
Mailing address
224 EAGLE VIEW DR, CHARLESTON, SC 29414-5762
(803) 413-5921
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11995
SC
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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