Individual
AMANDA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 NOTCH RD, ADAMS, MA 01220-1012
(413) 743-3241
Mailing address
10 NOTCH RD, ADAMS, MA 01220-1012
(413) 743-3241
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3672
MA
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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