Search › Arizona › 235Z00000X
Intissar Greene
NPI 1760798276 · on the registry since 2010 · sole proprietor
Practice
- Address
- 930 W Southern Ave
Mesa, AZ 85210 - Phone
- (480) 835-0857
- Fax
- (480) 898-0138
- Organisation at this address
- Fiesta Pediatric Therapy
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-08-20
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 Arizona