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Individual

MS. MARSHA ANN GREEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
55 CIRCLE DR, NORTH KINGSTOWN, RI 02852-6813
(401) 295-3052

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01320
RI

Other

Enumeration date
06/05/2006
Last updated
07/08/2007
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