# ALLISON GREEN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801154596
- **Authorized official:** MRS. ALLISON B GREEN OTR, CPT (OWNER)
- **Authorized official phone:** (734) 545-0028

## Contact information

- **Practice address:** 7656 BEEBALM CT, DEXTER, MI 48130-9336
- **Practice address phone:** (734) 545-0028
- **Mailing address:** 7656 BEEBALM CT, DEXTER, MI 48130-9336
- **Mailing address phone:** (734) 545-0028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 5201003689 | MI | Yes |

## Other

- **Enumeration date:** 05/01/2012
- **Last updated:** 05/01/2012