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Individual

RENEE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1403 HONAKER AVE, PRINCETON, WV 24740-3065
(304) 487-1551
Mailing address
1403 HONAKER AVE, PRINCETON, WV 24740-3065
(304) 487-1551
(304) 487-3047

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003051
WV

Other

Enumeration date
09/14/2017
Last updated
09/14/2017
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