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Individual

JENNA MARIE GREENE

Active
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Individual

JENNA MARIE GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6765
SC
225X00000X
Occupational Therapist
OT009732
GA
225XG0600X
Gerontology Occupational Therapist
6765
SC
225XP0019X
Physical Rehabilitation Occupational Therapist
6765
SC
225XP0019X
Physical Rehabilitation Occupational Therapist
OT009732
GA

Other

Enumeration date
04/12/2023
Last updated
01/29/2026
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