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WILLIAM THOMAS GREEN LMT
>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1114265733
Individual Registrant: WILLIAM THOMAS GREEN LMT
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
19370 COLLINS AVE UNIT 1010 SUNNY ISLES BEACH, FL 33160-2240 US
Tel: 305-305-2702 Fax: --
Tel: 305-305-2702 Fax: --
Contact information for business:
19370 COLLINS AVE UNIT 1010 SUNNY ISLES BEACH, FL 33160-2240 US
Tel: 305-305-2702 Fax: --
Tel: 305-305-2702 Fax: --
Registration Information:
NPI: 1114265733
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist | FL | MA67064 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
