Jennifer Marie Green PTA

NPI 1366636011 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1366636011
Gender Female
Enumeration Date 09/05/2007
Last Updated 09/05/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
305 CLYDE MORRIS BLVD
SUITE 220
ORMOND BEACH FL, 32174-8181, US
Phone (386) 676-3130
Fax (386) 676-7572
Business Location
1377 SPRING GARDEN RANCH RD
DE LEON SPRINGS FL, 32130-4210, US
Phone (386) 985-5783
Fax
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number PTA19986
Remove 1366636011 NPI Number
 

According to our database, Mrs. Jennifer Marie Green PTA NPI is 1366636011, taxonomy code is 225200000X and license number is PTA19986, license state is located at Florida. Jennifer Marie Green PTA physically located at 305 Clyde Morris Blvd, Ormond Beach FL, 32174-8181. NPI Number Jennifer Marie Green PTA has the Individual type.

Sponsored links

1366636011 NPI number is provided on an as is basis without warranty of any kind. 1366636011 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Marie Green PTA are for informational purposes only.