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NPI Code Detail

MEDICARE: LAURA A GREENE DPT

MEDICARE:   LAURA A GREENE  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistTN

General Provider Information

NPI Number : 1518245380
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA A GREENE DPT
Provider Business Mailing Address
First Line : PO BOX 681478
Second Line :
City : FRANKLIN
State : TN
Zip : 37068-1478
Country : US
Telephone Number : 615-591-6590
Fax Number : 615-591-6601
Provider Business Practice Location Address
First Line : 2332 LEBANON PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-2411
Country : US
Telephone Number : 615-690-9760
Fax Number : 615-690-9758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2011
Last Update Date : 05/05/2015

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Directions to “ LAURA A GREENE DPT” Practice Location

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