Greene, Jennifer

Greene, Jennifer is an individual health care provider with primary practice located at 505 N Euclid St Ste 680, Anaheim CA 92801-5506. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Greene, Jennifer can be contacted via phone (714) 780-0010.

Contact Information

Primary practice address
505 N Euclid St Ste 680 Anaheim CA 92801-5506
Phone: (714) 780-0010
Fax: (714) 780-0050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 41967 California

Profile Details

NPI number 1033507363
LBN Legal business name Greene, Jennifer
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2015
Last updated Apr 21st, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033507363 NPPES
California Other CB228642 MEDICARE PTAN

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