Individual
CAITLIN ROSE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 CLIFFSIDE DR, STATE COLLEGE, PA 16801-7662
(814) 238-3139
Mailing address
236 N MAIN ST, YEAGERTOWN, PA 17099-9647
(717) 372-2919
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI005430
PA
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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