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1336825884
ANDREW GREEN
SOUTHLAKE, TX
NPI
1336825884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225100000X Physical Therapist
(Licence: PA PT031267)
Enumeration Date
2023-06-27
Last Update Date
2024-09-13
Business Address
ANDREW GREEN DPT
245 WEST HWY 114
SOUTHLAKE, TX 76092
Phone number: 817-873-5311
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Mailing Address
ANDREW GREEN DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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