Individual
JENNIFER ANN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16702 N DALE MABRY HWY, TAMPA, FL 33618-1055
(813) 908-2333
Mailing address
16702 N DALE MABRY HWY, TAMPA, FL 33618-1055
(813) 908-2333
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11225
FL
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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