Individual
JASON PAUL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
15435 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-4827
(440) 887-1125
Mailing address
3143 NINETY RD, ASHTABULA, OH 44004-9607
(614) 378-8622
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
04920
OH
Other
Enumeration date
03/19/2007
Last updated
08/24/2009
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