| NPI | 1104236165 |
|---|---|
| Doing Business As | GREEN TREE THERAPY |
| Entity Type | Organization |
| Authorized Contact | DAVID M UNDERWOOD Sr VP & CFO 309-823-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |