Individual
MISS JANELLE LASONTA GREENIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
24 LONGVIEW ST, SPRINGFIELD, MA 01108-1513
(413) 883-5970
Mailing address
24 LONGVIEW ST, SPRINGFIELD, MA 01108-1513
(413) 883-5970
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000966
CT
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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