DR. Revenda Greene, PT

NPI #1124549407 in Upper Marlboro, Maryland

Provider Information

NPI Number: 1124549407
Entity Type: Individual
Name: DR. Revenda Greene, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 27, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 1208 CANVASBACK CT
City: Upper Marlboro
State: Maryland
ZIP Code: 20774-7003
Phone: (301) 266-9758

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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