Provider Demographics
NPI:1831496504
Name:GREENE AND ASSOCIATES PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:GREENE AND ASSOCIATES PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:MS,PT
Authorized Official - Phone:617-694-1893
Mailing Address - Street 1:89 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:SUNAPEE
Mailing Address - State:NH
Mailing Address - Zip Code:03782-3022
Mailing Address - Country:US
Mailing Address - Phone:617-694-1893
Mailing Address - Fax:
Practice Address - Street 1:89 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:SUNAPEE
Practice Address - State:NH
Practice Address - Zip Code:03782-3022
Practice Address - Country:US
Practice Address - Phone:617-694-1893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3519225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty