Organization
GREENHOUSE WELLNESS AND PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN PUPA JACONO DPT (PRESIDENT/PHYSICAL THERAPIST)
(908) 581-6642
Entity
Organization
Contact information
Practice address
647B BLAKE RD, ELKTON, MD 21921-1805
(443) 877-9934
Mailing address
370 WALNUT LN, NORTH EAST, MD 21901-6118
(908) 581-6642
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
12/15/2021
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