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TRACI DUNCAN GREEN MPT

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

Registrant NPI Number: 1316254477

Individual Registrant:
 TRACI DUNCAN GREEN MPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
424 COLLEGE BLVD.  VALPARAISO, FL 32580 US
Tel: 850-378-2600  Fax: 833-869-6437

Contact information for business:
6021 STERLING RIVER WAY  NICEVILLE, FL 32578 US
Tel: 850-378-2600  Fax: 833-869-6437

Registration Information:
NPI: 1316254477
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FLPT16099

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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