Individual
KIMBERLY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9817 E US HIGHWAY 36, AVON, IN 46123-7954
(317) 860-7677
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011667A
IN
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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