Individual
JONAH GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4343 ASHLAND CITY HWY, NASHVILLE, TN 37218-2401
(615) 726-0492
Mailing address
4295 SWEDEN DR, HERMITAGE, TN 37076-1217
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3481
TN
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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