Individual
BRANDI L GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
950 TRAVELERS BLVD, SUMMERVILLE, SC 29485-8213
(843) 832-8481
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1914
SC
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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