DESTINEE SIMONE GREEN

DETROIT, MI
NPI1457151706
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502008400)
Enumeration Date2025-03-17
Last Update Date2025-03-17
Business Address
DESTINEE SIMONE GREEN PTA
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
Mailing Address
DESTINEE SIMONE GREEN PTA
27408 STRAWBERRY LN APT 202
FARMINGTON HILLS, MI 48334-5065
Phone number: 313-522-3660
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