Individual
AMANDA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3617 OHARE DRIVE, MEQUITE, TX 75150
(214) 458-5743
Mailing address
120 MAGNOLIA ST, FERRIS, TX 75125-2309
(214) 458-5743
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209167
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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