Individual
KARI LAMAE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22087 BLACK WALNUT CIR, EDMOND, OK 73012-4228
(405) 880-5120
Mailing address
22087 BLACK WALNUT CIR, EDMOND, OK 73012-4228
(405) 612-0616
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1707
OK
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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