SearchFlorida224Z00000X

Jennifer Green, COTA/L

NPI 1134608458 · on the registry since 2018 · sole proprietor

Practice

Address
448 Pendrey Dr
Port Orange, FL 32127
Phone
(386) 215-2961

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Also registered as
376K00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida