KEVIN O'SHEA GREEN

BEAUFORT, SC
NPI1447210489
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  948)
Enumeration Date2006-03-24
Last Update Date2007-07-08
Business Address
Mr. KEVIN O'SHEA GREEN PTA, MLDT
1076 RIBAUT RD
BEAUFORT, SC 29902-5490
Phone number: 832-521-1970
Mailing Address
Mr. KEVIN O'SHEA GREEN PTA, MLDT
133 BAYNARD RD
BEAUFORT, SC 29906-6777
Phone number: 843-597-0993
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