Individual
MADELINE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-8472
(928) 763-8700
Mailing address
2150 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-8472
(928) 763-8700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
02/08/2018
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