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LAURA GREENE DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1578132916

Individual Registrant:
 LAURA  GREENE DPT
Gender: F
Sole Proprietor

Location and contact information for practice:
269 CORONADO ST  HERCULES, CA 94547-2020 US
Tel: 510-672-2336  Fax: --

Contact information for business:
3701 BROADWAY  OAKLAND, CA 94611-5613 US
Tel: 510-123-4567  Fax: --

Registration Information:
NPI: 1578132916
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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