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Contact Information

LORI GREEN
801 NW ST MARY'S DR
STE 102
BLUE SPRINGS, MO64014
 Phone: 816-229-6622
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for LORI GREEN · (Female)

NPI # 1659481497
Status Active
Credentials
Entity Individual
Enumeration date 08/30/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MO Other 115189 LICENSE #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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