Individual
LOUISE TINETTI GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2075 E WEST MAPLE RD, SUITE B204, COMMERCE TOWNSHIP, MI 48390-3816
(248) 926-0909
(248) 624-3332
Mailing address
2075 E WEST MAPLE RD, SUITE B204, COMMERCE TOWNSHIP, MI 48390-3816
(248) 926-0909
(248) 624-3332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001558
MI
Other
Enumeration date
01/22/2008
Last updated
01/17/2020
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