Individual
MRS. DANA MAUREEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1620 WHEELER ST, EMPORIA, KS 66801-6146
(620) 342-3280
Mailing address
455 ROAD 180, EMPORIA, KS 66801
(620) 343-4027
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-00346
KS
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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