OTHA GREEN

SAN ANTONIO, TX
NPI1124226410
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1032621)
Enumeration Date2007-07-06
Last Update Date2007-07-08
Business Address
Mr. OTHA GREEN PT
23029 CENTRAL PR
SAN ANTONIO, TX 78255-2114
Phone number: 210-698-3672
Mailing Address
Mr. OTHA GREEN PT
23029 CENTRAL PR
SAN ANTONIO, TX 78255-2114
Phone number: 210-698-3672