Individual
MS. PATRICIA ANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
2622 IOWA ST, CARLSBAD, NM 88220-2953
(817) 210-2597
Mailing address
2622 IOWA ST, CARLSBAD, NM 88220-2953
(817) 210-2597
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3583
NM
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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