Individual
JULIE A GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, CBIS
Contact information
Practice address
7711 SHELBY ST, INDIANAPOLIS, IN 46227-5986
(317) 378-7565
Mailing address
7441 HIGHPOINT CIR, INDIANAPOLIS, IN 46259-7667
(317) 518-6265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
36000788A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2006
Last updated
10/04/2024
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