Greene Rehab Services, P.A.
Clinic/Center, Physical Therapy in North Port, FL. Organization (NPI-2).
NPI number1669913653
StatusActive
Last updated in NPPESMar 10, 2017
Details
- NPI
- 1669913653
- Entity type
- Organization (NPI-2)
- Legal business name
- Greene Rehab Services, P.A.
- Organization subpart
- No
- Enumeration date
- Mar 10, 2017
- Last updated
- Mar 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | PTA22248 | FL | Yes |
Practice location
12749 Tamiami Trl SNorth Port, FL 34287-1934
Phone 941-484-2471
Mailing address
333 Tamiami Trl SVenice, FL 34285-2402
Phone 941-484-2471
Authorized official
Christine Greene
Owner/Adminstrator
9414842471
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