Individual
MANIKE MAGRIET GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
6601 220TH ST SW STE 1, MOUNTLAKE TERRACE, WA 98043-2166
(425) 775-7274
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
08/31/2024
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