Individual
MRS. KRISTA ANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5433 REDBIRD CV, IMPERIAL, MO 63052-1748
(314) 566-0251
(636) 467-5738
Mailing address
5433 REDBIRD CV, IMPERIAL, MO 63052-1748
(314) 566-0251
(636) 467-5738
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2001031019
MO
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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