Individual
HEATHER ANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2222 S FRONTAGE RD, VICKSBURG, MS 39180-5271
(601) 852-3271
Mailing address
2222 S FRONTAGE RD, VICKSBURG, MS 39180-5271
(601) 852-3271
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3999
MS
Other
Enumeration date
12/19/2022
Last updated
03/17/2025
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