TODD GREEN

LAKE CITY, FL
NPI1225434566
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  pta25380)
Enumeration Date2014-11-14
Last Update Date2014-11-14
Business Address
-- TODD GREEN PTA
493 SW MILL LN
LAKE CITY, FL 32024-0432
Phone number: 386-365-0636
Mailing Address
-- TODD GREEN PTA
493 SW MILL LN
LAKE CITY, FL 32024-0432
Phone number: 386-365-0636