MR. Kevin O'shea Green SR., PTA, MLDT

NPI #1447210489 in Beaufort, South Carolina

Provider Information

NPI Number
1447210489
Entity Type
Individual
Name
MR. Kevin O'shea Green SR., PTA, MLDT
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physical Therapy Assistant
Credential
PTA, MLDT
Enumeration Date
Mar 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1076 RIBAUT RD
ZIP Code
29902-5490
Phone
(832) 521-1970

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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