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Individual

MISS RACHEL E GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
201 PENNSYLVANIA PKWY, SUITE 100, INDIANAPOLIS, IN 46280-2301
(318) 208-5112
(317) 817-1220
Mailing address
201 PENNSYLVANIA PKWY, SUITE 100, INDIANAPOLIS, IN 46280-2301
(318) 208-5112
(317) 817-1220

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001750A
IN
2255A2300X
Athletic Trainer
AT001318
GA

Other

Enumeration date
08/17/2006
Last updated
07/23/2013
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