| NPI | 1508564550 |
|---|---|
| Doing Business As | GREEN PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JESSE GREEN, PT, DPT, LMT, CSCS Owner/Employee 917-648-1949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-06-07 |