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
- City
- Beaufort
- State
- South Carolina
- ZIP Code
- 29902-5490
- Phone
- (832) 521-1970
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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