Individual
BARBARA GORDON GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MS
Contact information
Practice address
725 PROVIDENCE RD, SUITE 205, CHARLOTTE, NC 28207-2370
(704) 377-0020
Mailing address
725 PROVIDENCE RD, SUITE 205, CHARLOTTE, NC 28207-2370
(704) 377-0020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3203
NC
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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