Individual
MR. ROBERT D GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8800 GRAND OAK CIR, SUITE 450, TAMPA, FL 33637-2006
(813) 558-6505
(813) 975-1016
Mailing address
3193 OAKPARK DR, LAKELAND, FL 33803-7957
(863) 607-6065
(863) 607-6065
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA14096
FL
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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