Individual
MISS TINA KAY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
803 POPLAR ST, MURRAY, KY 42071-2432
(270) 762-1771
Mailing address
71 FAITH LN, CALVERT CITY, KY 42029-8612
(270) 395-0602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R2735
KY
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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