Individual
MR. HARRY GREEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
134 RED BANK RD, EUTAWVILLE, SC 29048-9439
(718) 413-8408
Mailing address
134 RED BANK RD, EUTAWVILLE, SC 29048-9439
(718) 413-8408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22193
FL
Other
Enumeration date
07/05/2006
Last updated
03/20/2022
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