Individual
JASMINE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1991 E AJO WAY STE 149, TUCSON, AZ 85713-6269
(520) 999-2190
Mailing address
1991 E AJO WAY STE 149, TUCSON, AZ 85713-6269
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-32501
AZ
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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