Most Relevant Information
Provider Data
| NPI Number: | 1003182296 |
| Provider Name: | TABATHA Y GREENE |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2012 |
| Last Updated: | 04/01/2012 |
Provider Practice Location
5312 OLD CHENEY HWY
APT.C
ORLANDO
FL
328071935
Practice Location Phone/Fax
| Phone: | 4072234569 |
| Fax: |
Provider Mailing Location
5312 OLD CHENEY HWY
APT.C
ORLANDO
FL
328071935
Provider Mailing Phone/Fax
| Phone: | 4072234569 |
| Fax: |