Individual
KATHY BARBARA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10005
FL
Other
Enumeration date
11/27/2007
Last updated
12/21/2016
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