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Individual

MS. TALIA GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
193 MOORE DR, LEXINGTON, KY 40503-2918
(859) 278-6865
(859) 278-2510
Mailing address
PO BOX 911148, LEXINGTON, KY 40591-1148
(859) 278-2121
(859) 276-1649

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004591
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8700176400
KY
Enumeration date
03/02/2007
Last updated
07/08/2007
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