Individual
LAURA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
168 INDUSTRIAL DR, MASHPEE, MA 02649-3561
(508) 477-4800
(808) 591-2245
Mailing address
168 INDUSTRIAL DR, MASHPEE, MA 02649-3561
(508) 477-4800
(808) 591-2245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26200
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3213
UNIVERSITY HEALTH ALLIANCE
HI
Enumeration date
08/30/2019
Last updated
03/10/2023
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