Individual
AMBER ANNE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
725 S PINE ST, SEBRING, FL 33870-3654
(863) 385-0161
Mailing address
365 N CORINTH RD, AVON PARK, FL 33825-2285
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16458
FL
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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