TERRENCE GREEN

EVANSTON, IL
NPI1306219548
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.006665)
Enumeration Date2015-11-10
Last Update Date2015-11-10
Business Address
Mr. TERRENCE GREEN
415 HOWARD ST
EVANSTON, IL 60202-4007
Phone number: 773-809-1342
Mailing Address
Mr. TERRENCE GREEN
415 HOWARD ST
EVANSTON, IL 60202-4007
Phone number: 773-809-1342
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