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Individual

MR. DAVID GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
1120 ST. PAUL ST., GROUND LEVEL, BALTIMORE, MD 21202
(410) 685-7790
Mailing address
5834 EAST AVE, BALTIMORE, MD 21206-1413
(410) 491-1022

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22267
MD

Other

Enumeration date
06/18/2012
Last updated
06/18/2012
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