Individual
MR. BARRY WILLIAM GREEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
3440 S JEFFERSON ST, FALLS CHURCH, VA 22041-3145
(703) 820-1488
Mailing address
6820 HONEYCUTT LN, GLOUCESTER, VA 23061-5247
(804) 413-3059
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603260
VA
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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