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Organization
KIM GREEN OCCUPATIONAL THERAPY, PC
Active
Organization
KIM GREEN OCCUPATIONAL THERAPY, PC
Active
Other names
Green Rehabilitation & Injury Management
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY C GREEN OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(315) 637-0035
Entity
Organization
Contact information
Practice address
104 CLINTON ST, FAYETTEVILLE, NY 13066-2045
(315) 637-0035
(315) 637-1335
Mailing address
104 CLINTON ST, FAYETTEVILLE, NY 13066-2045
(315) 637-0035
(315) 637-1335
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006484
NY
Other
Enumeration date
08/01/2007
Last updated
11/20/2013
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