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1962640805
TYLER GREEN
FAYETTEVILLE, AR
NPI
1962640805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR 3447)
Enumeration Date
2009-01-30
Last Update Date
2016-09-27
Business Address
-- TYLER GREEN PT,DPT
2668 E CITIZENS DR SUITE 5
FAYETTEVILLE, AR 72703-4796
Phone number: 479-747-0014
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Mailing Address
-- TYLER GREEN PT,DPT
2668 E CITIZENS DR STE 5
FAYETTEVILLE, AR 72703-4796
Phone number: 479-747-0014
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