Individual
J GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
810 KENHORST BLVD, READING, PA 19611-1722
(610) 413-4993
Mailing address
810 KENHORST BLVD, READING, PA 19611-1722
(610) 413-4993
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003570
PA
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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