Individual
MR. JAY BRIAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
225 CHAPMAN ST, BOX 7, PROVIDENCE, RI 02905-4533
(401) 490-7610
Mailing address
225 CHAPMAN ST, BOX 7, PROVIDENCE, RI 02905-4533
(401) 490-7610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00887
RI
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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