Organization
GREENE REHAB SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE GREENE PT (OWNER/ADMINSTRATOR)
(941) 484-2471
Entity
Organization
Contact information
Practice address
12749 TAMIAMI TRL S, NORTH PORT, FL 34287-1934
(941) 484-2471
Mailing address
333 TAMIAMI TRL S, VENICE, FL 34285-2402
(941) 484-2471
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTA22248
FL
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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