Individual
KHADIJAH AFIYA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 29TH ST, ORLANDO, FL 32805-6219
(407) 843-3230
Mailing address
9012 SUMMIT CENTRE WAY APT 204, ORLANDO, FL 32810-5957
(786) 800-0381
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30434
FL
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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