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Individual

ELISSA GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
39 BRIGHTON AVE, ALLSTON, MA 02134-2301
(617) 783-3141
Mailing address
7 WEYBRIDGE RD, BROOKLINE, MA 02445-6110

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8942
MA

Other

Enumeration date
01/02/2007
Last updated
07/08/2007
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