Individual
EMILY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8115 E INDIAN BEND RD STE 123, SCOTTSDALE, AZ 85250-4819
(480) 951-4645
Mailing address
2848 E BROWN RD UNIT 9, MESA, AZ 85213-5412
(480) 861-1373
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5906
AZ
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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