Timothy Greene P.T.

NPI 1952427981 - Physical Therapist - 225100000X

NPI Details
NPI 1952427981
Gender Male
Enumeration Date 03/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
790 GARDNER ST
LAKE GENEVA WI, 53147-1233, US
Phone (262) 248-2008
Fax
Business Location
W5509 WESTSHORE DR
ELKHORN WI, 53121-2612, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 1493-024
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According to our database, Timothy Greene P.T. NPI is 1952427981, taxonomy code is 225100000X and license number is 1493-024, license state is located at Wisconsin. Timothy Greene P.T. physically located at 790 Gardner St, Lake Geneva WI, 53147-1233. NPI Number Timothy Greene P.T. has the Individual type.

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1952427981 NPI number is provided on an as is basis without warranty of any kind. 1952427981 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Greene P.T. are for informational purposes only.