Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIMMMYE DALE GREEN JR., OTR/L,CEAS
Active Sole ProprietorJIMMMYE DALE GREEN JR., OTR/L,CEAS is a Ergonomics Occupational Therapist healthcare provider located in MARYVILLE, Tennessee. NPI 1144794348 is currently active in the NPPES registry. Verify at CMS.
Ergonomics Occupational Therapist · MARYVILLE, TN
Registration Details
- NPI Number
- 1144794348
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2019 (7.5850245372969 yrs)
- Last Updated
- Jan 22, 2019
- License
-
0000003798 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2648 SEVIERVILLE RDMARYVILLE, TN, 378043643Browse TN providers · Browse ZIP 37804
- Phone
- 8659841660
- Primary Specialty
-
Ergonomics Occupational Therapist
225XE1200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.