ERIC L GREEN

MADISON, FL
NPI1235483793
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA23651)
Enumeration Date2012-11-06
Last Update Date2012-11-06
Business Address
-- ERIC L GREEN P.T.A.
257 SW DADE ST
MADISON, FL 32340-2361
Phone number: 850-973-3316
Mailing Address
-- ERIC L GREEN P.T.A.
3334 CAPITAL MEDICAL BLVD SUITE 300
TALLAHASSEE, FL 32308-8405
Phone number: 850-877-8855