Individual
BRYCE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
661 BARBADOS DR, INDIANAPOLIS, IN 46227-2278
(317) 679-2590
Mailing address
661 BARBADOS DR, INDIANAPOLIS, IN 46227-2278
(317) 679-2590
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/18/2019
Last updated
08/18/2019
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