Green, Jennifer Marie

Green, Jennifer Marie is an individual health care provider with primary practice located at 305 Clyde Morris Blvd Suite 220, Ormond Beach FL 32174-8181. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Green, Jennifer Marie can be contacted via phone (386) 676-3130.

Contact Information

Primary practice address
305 Clyde Morris Blvd Suite 220 Ormond Beach FL 32174-8181
Phone: (386) 676-3130
Fax: (386) 676-7572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA19986 Florida

Profile Details

NPI number 1366636011
LBN Legal business name Green, Jennifer Marie
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2007
Last updated Sep 5th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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