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Organization
GREENE REHAB SERVICES PA
Active
Organization
GREENE REHAB SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE ANN GREENE PHYSICAL THERAPIST (ADMINISTRATOR)
(941) 484-2471
Entity
Organization
Contact information
Practice address
333 S. TAMIAMI TRL, SUITE 207, VENICE, FL 34285-2424
(941) 484-2471
(941) 484-5487
Mailing address
333 S. TAMIAMI TRL, SUITE 207, VENICE, FL 34285-2424
(941) 484-2471
(941) 484-5487
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880244100
—
FL
01
—
HOR75
BLUE CROSS BLUE SHIELD
FL
01
—
N8882
RAILROAD MEDICARE
FL
01
—
QW6
BLUE CROSS BLUE SHIELD
FL
01
—
R75
BLUE CROSS BLUESHIELD
FL
Enumeration date
05/23/2005
Last updated
08/27/2009
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