TIMOTHY GREENE

LAKE GENEVA, WI
NPI1952427981
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  1493-024)
Enumeration Date2007-03-21
Last Update Date2007-07-08
Business Address
-- TIMOTHY GREENE P.T.
790 GARDNER ST
LAKE GENEVA, WI 53147-1233
Phone number: 262-248-2008
Mailing Address
-- TIMOTHY GREENE P.T.
W5509 WESTSHORE DR
ELKHORN, WI 53121-2612
Phone number:
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