Individual
MISS BROOKE L. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
428-3 MCNULTY ROAD, BLYTHEWOOD, SC 29016
(803) 728-0421
(803) 728-0424
Mailing address
PO BOX 219, BLYTHEWOOD PHYSICAL THERAPY DBA: COLUMBIA REHABILITATIO, BLYTHEWOOD, SC 29016
(803) 728-0421
(803) 728-0424
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3479
SC
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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