Individual
CHRISTINA SUZANNE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12633 BLUE EAGLE WAY, JACKSONVILLE, FL 32225-0825
(808) 294-5858
Mailing address
12633 BLUE EAGLE WAY, JACKSONVILLE, FL 32225-0825
(808) 294-5858
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26116
FL
Other
Enumeration date
09/28/2017
Last updated
07/21/2022
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