ANTHONY DARIUS GREEN

JACKSONVILLE, FL
NPI1326548603
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2018-02-13
Last Update Date2018-02-13
Business Address
ANTHONY DARIUS GREEN PTA
6248 103RD ST STE 105
JACKSONVILLE, FL 32210-7733
Phone number: 904-573-0046
Mailing Address
ANTHONY DARIUS GREEN PTA
12645 ELVENKING LN
JACKSONVILLE, FL 32225-3481
Phone number: 904-508-6213
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