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Individual

MR. REGINALD SCOTT GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
19735 GERMANTOWN RD, SUITE 120, GERMANTOWN, MD 20874-1214
(240) 454-6790
(301) 528-8092
Mailing address
6916 CYNTHIA LN, DERWOOD, MD 20855-1301
(240) 361-1874

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
18283
MD

Other

Enumeration date
09/20/2006
Last updated
10/18/2007
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