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1124226410
OTHA GREEN
SAN ANTONIO, TX
NPI
1124226410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1032621)
Enumeration Date
2007-07-06
Last Update Date
2007-07-08
Business Address
MR. OTHA GREEN PT
23029 CENTRAL PR
SAN ANTONIO, TX 78255-2114
Phone number: 210-698-3672
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Mailing Address
MR. OTHA GREEN PT
23029 CENTRAL PR
SAN ANTONIO, TX 78255-2114
Phone number: 210-698-3672
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