AMANDA JEAN GREEN

EVANSVILLE, IN
NPI1902183783
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06003439A)
Enumeration Date2011-11-08
Last Update Date2011-11-08
Business Address
-- AMANDA JEAN GREEN PTA
4900 SHAMROCK DR SUITES 100-102
EVANSVILLE, IN 47715-7325
Phone number: 812-475-3494
Mailing Address
-- AMANDA JEAN GREEN PTA
4900 SHAMROCK DR SUITES 100-102
EVANSVILLE, IN 47715-7325
Phone number: 812-475-3494