Individual
MS. COURTNEY MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 E MAIN ST, LANCASTER, OH 43130-9302
(740) 653-8630
Mailing address
500 HARPER ST APT 3, NELSONVILLE, OH 45764-1590
(740) 497-7794
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.008629
OH
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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