Individual
MRS. CATHERINE RENEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
9120 W 75TH ST, LIFE DYNAMICS BUILDING-SPORTSCARE, OVERLAND PARK, KS 66204-2210
(913) 676-7538
Mailing address
6927 W 101ST ST, OVERLAND PARK, KS 66212-1640
(913) 383-2536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02770
KS
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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