KELLY GREEN

RUSTON, LA
NPI1740903624
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  11379)
Enumeration Date2022-09-26
Last Update Date2022-09-26
Business Address
KELLY GREEN DPT
1316 E KENTUCKY AVE
RUSTON, LA 71270-6609
Phone number: 318-224-9081
Mailing Address
KELLY GREEN DPT
1316 E KENTUCKY AVE
RUSTON, LA 71270-6609
Phone number: 318-224-9081
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