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Todd Green, PTA
NPI 1225434566 · on the registry since 2014
Practice
- Address
- 493 Sw Mill Ln
Lake City, FL 32024 - Phone
- (386) 365-0636
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida