Individual
KATHLEEN M GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
121 BROADWAY ST, COLCHESTER, CT 06415-1052
(860) 537-6798
(860) 537-5926
Mailing address
2B LEE RD, LISBON, CT 06351-3042
(860) 376-2564
(860) 376-4812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003876
CT
Other
Enumeration date
06/18/2012
Last updated
03/22/2017
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