MATTHEW AUSTIN GREEN

FENTON, MO
NPI1245951649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2004004898)
Enumeration Date2022-09-06
Last Update Date2022-09-06
Business Address
Mr. MATTHEW AUSTIN GREEN MPT
1011 BOWLES AVE STE 150
FENTON, MO 63026-2384
Phone number: 636-343-9555
Mailing Address
Mr. MATTHEW AUSTIN GREEN MPT
2636 ACCOMAC ST
SAINT LOUIS, MO 63104-2218
Phone number: 314-607-7817