Individual
TABATHA Y GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5312 OLD CHENEY HWY, APT.C, ORLANDO, FL 32807-1935
(407) 223-4569
Mailing address
5312 OLD CHENEY HWY, APT.C, ORLANDO, FL 32807-1935
(407) 223-4569
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/01/2012
Last updated
04/01/2012
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