| NPI | 1437565462 |
|---|---|
| Former Name | ANN MARIE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501303462) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60449782) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2024-08-27 |