Individual
JASON GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7069 PERKINS RD, SUITE A, BATON ROUGE, LA 70808-4320
(225) 769-6161
(225) 769-7661
Mailing address
11320 INDUSTRIPLEX BOULEVARD, BATON ROUGE, LA 70809
(225) 295-8183
(225) 752-2937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04659
LA
Other
Enumeration date
06/30/2006
Last updated
05/16/2011
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