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1114469475
CARRIE ELIZABETH GREEN
COLUMBIA, SC
NPI
1114469475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1284339)
Enumeration Date
2016-11-17
Last Update Date
2016-11-17
Business Address
-- CARRIE ELIZABETH GREEN DPT
4500 STUART ST
COLUMBIA, SC 29207-5700
Phone number: 803-751-2162
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Mailing Address
-- CARRIE ELIZABETH GREEN DPT
10 IDLEBROOK CIR
COLUMBIA, SC 29229-8921
Phone number: 210-585-1695
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