Individual
ANITA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
4660 S HAGADORN RD STE 160, EAST LANSING, MI 48823-6804
(800) 974-4378
(630) 515-1536
Mailing address
24014 W RENWICK RD STE F, PLAINFIELD, IL 60544-8708
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009623
MI
Other
Enumeration date
12/20/2016
Last updated
10/05/2022
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