Individual
ELLEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7701 LAS COLINAS RIDGE SUITE 110,, IRVING, TX 75063
(214) 574-7848
Mailing address
4091 STILLHOUSE RD, PARIS, TX 75462-2055
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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