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WILLIAM THOMAS GREEN LMT

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

Registrant NPI Number: 1114265733

Individual Registrant:
 WILLIAM THOMAS GREEN LMT
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: --

Contact information for business:
19370 COLLINS AVE UNIT 1010 SUNNY ISLES BEACH, FL 33160-2240 US
Tel: 305-305-2702  Fax: --

Registration Information:
NPI: 1114265733
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
FLMA67064

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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