Individual
LAURA A GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4711 E RIVERSIDE DR APT 1109, AUSTIN, TX 78741-5004
(281) 636-6587
Mailing address
4711 E RIVERSIDE DR APT 1109, AUSTIN, TX 78741-5004
(281) 636-6587
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
123454
TX
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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