JEANNE GREEN

MARIETTA, GA
NPI1922168707
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  3516)
Additional Taxonomies2251P0200X Physical Therapist, Pediatrics
(Licence: GA  3516)
Enumeration Date2006-12-11
Last Update Date2007-07-09
Business Address
-- JEANNE GREEN PT
2465 CANOPY GLN
MARIETTA, GA 30066-1541
Phone number: 770-517-2480
Mailing Address
-- JEANNE GREEN PT
PO BOX 670207
MARIETTA, GA 30066-0121
Phone number: 770-517-2480