KELLY GREEN

GOODYEAR, AZ
NPI1104403195
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  31672)
Enumeration Date2021-03-25
Last Update Date2021-03-25
Business Address
KELLY GREEN PT
1626 N LITCHFIELD RD STE 310
GOODYEAR, AZ 85395-1397
Phone number: 623-680-0036
Mailing Address
KELLY GREEN PT
7602 N 185TH AVE
WADDELL, AZ 85355-9815
Phone number: 623-680-0036