Individual
MARK RYAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
29185 HIGHWAY 191, MANY, LA 71449-6313
(318) 590-9140
(318) 590-9141
Mailing address
29185 HIGHWAY 191, MANY, LA 71449-6313
(318) 590-9140
(318) 590-9141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07572
LA
Other
Enumeration date
06/04/2009
Last updated
10/17/2019
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