BRODY MITCHELL GREEN

WOODSTOCK, GA
NPI1154889129
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA004106)
Enumeration Date2019-03-07
Last Update Date2019-03-07
Business Address
BRODY MITCHELL GREEN LPTA
4580 TOWNE LAKE PKWY
WOODSTOCK, GA 30189
Phone number: 678-771-6459
Mailing Address
BRODY MITCHELL GREEN LPTA
1824 DEFOOR AVE NW APT 2215
ATLANTA, GA 30318-3029
Phone number:
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