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Individual

MRS. LORI LYN GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., P.T.

Contact information

Practice address
6400 GLENWOOD ST, SUITE 205, OVERLAND PARK, KS 66202-4016
(913) 432-2900
Mailing address
12738 HASKINS ST, OVERLAND PARK, KS 66213-2474
(913) 829-2790

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
11-02752
KS

Other

Enumeration date
03/07/2007
Last updated
07/08/2007
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