Individual
JONATHAN JORVELL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5165 ADANSON ST, ORLANDO, FL 32804-1331
(352) 394-0212
Mailing address
5165 ADANSON ST, ORLANDO, FL 32804-1331
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
12/05/2022
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