Individual
EDMUND GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8500 STATION ST STE 300D, MENTOR, OH 44060-4963
(216) 849-1079
(888) 312-2672
Mailing address
3522 W 127TH ST, CLEVELAND, OH 44111-3502
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.021189
OH
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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