Donna L Greenlee, O.T.R.

Individual provider Active NPI Occupational Therapist · Jonesborough, TN

NPI 1922217876 · NPPES record last updated Nov 2, 2011

Key facts

NPI
1922217876
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT1459 (TN)
Practice address
249 Oliver Edwards Rd
Jonesborough, TN 37659-6537
Phone
(423) 823-1323
Fax
(423) 235-6863
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT1459TNMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT1459 TN Yes

Addresses

Primary practice location

249 Oliver Edwards Rd
Jonesborough, TN 37659-6537

Mailing address

249 Oliver Edwards Rd
Jonesborough, TN 37659-6537
Phone (423) 823-1323

Other names

  • Ms. Donna L. Boles Former name

Other providers in Jonesborough, TN

All providers in Jonesborough, TN · Occupational Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.