Individual
ALLISON B GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2810 BAKER RD, SUITE 101, DEXTER, MI 48130-1114
(734) 424-9710
(734) 424-9711
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003689
MI
Other
Enumeration date
05/04/2010
Last updated
12/23/2016
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