Individual
JASON P GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4417
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11750429
CAQH
AL
05
—
GR891017425
—
AL
01
—
PTH4417
LICENSE #
AL
Enumeration date
08/30/2006
Last updated
05/18/2023
Update your record
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