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Individual

MRS. CANDICAS F. GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4300 LONG BEACH BLVD STE 700, LONG BEACH, CA 90807-2000
(818) 894-2273
(818) 357-2505
Mailing address
176 STONEHAM, MEMPHIS, TN 38109
(312) 692-9960

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056008433
IL
225X00000X
Occupational Therapist
Primary
24084
CA

Other

Enumeration date
10/03/2008
Last updated
05/12/2026
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