ANDREW GREEN

SOUTHLAKE, TX
NPI1336825884
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies225100000X Physical Therapist
(Licence: PA  PT031267)
Enumeration Date2023-06-27
Last Update Date2024-09-13
Business Address
ANDREW GREEN DPT
245 WEST HWY 114
SOUTHLAKE, TX 76092
Phone number: 817-873-5311
Mailing Address
ANDREW GREEN DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: