Individual
BRANDON PHILLIP GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17906 PIONEER BLVD UNIT 101-102, ARTESIA, CA 90701-3972
(562) 865-2222
Mailing address
28520 WOOD CANYON DR APT 67, ALISO VIEJO, CA 92656-5270
(510) 828-7183
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
303159
CA
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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