Individual
PAIGE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3699 NW 32ND ST, NEWCASTLE, OK 73065-6559
(405) 387-5520
Mailing address
1712 WELLINGTON RD, NEWCASTLE, OK 73065-2303
(405) 201-0323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5382
OK
Other
Enumeration date
08/16/2017
Last updated
06/15/2021
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