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Individual
MARTHA GREEN
Active
Individual
MARTHA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0603362
NY
225X00000X
Occupational Therapist
Primary
025275
NY
Other
Enumeration date
05/01/2020
Last updated
02/14/2023
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