Individual
VICTORIA MARY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
5261 CLAREMONT AVE, OAKLAND, CA 94618-1032
(510) 250-9164
Mailing address
4136 BAYO ST, OAKLAND, CA 94619-2104
(914) 262-3950
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
19279
CA
Other
Enumeration date
06/23/2017
Last updated
08/17/2023
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