Individual
MS. ANDREA CECELIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1440 168TH AVE, SAN LEANDRO, CA 94578-2409
(510) 481-6328
Mailing address
99 SHADOW MTN, OAKLAND, CA 94605-4616
(510) 569-9496
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20494
CA
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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