EBONI DA'SHAUN GREEN

MONTGOMERY, AL
NPI1184393209
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AL  PTA10477)
Enumeration Date2021-09-11
Last Update Date2021-09-11
Business Address
EBONI DA'SHAUN GREEN LPTA
520 S HULL ST
MONTGOMERY, AL 36104-4610
Phone number: 334-834-2920
Mailing Address
EBONI DA'SHAUN GREEN LPTA
3912 NARROW LANE RD
MONTGOMERY, AL 36111-2644
Phone number: 334-220-3047
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