Individual
SOPHIE ADAMA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28292 HARWICH DR, FARMINGTON HILLS, MI 48334-3204
(734) 219-1992
Mailing address
28292 HARWICH DR, FARMINGTON HILLS, MI 48334-3204
(734) 219-1992
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
52011013218
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E01453250
COLLEGE
MI
Enumeration date
02/13/2023
Last updated
02/13/2023
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