Individual
MADISON LEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
422 EAST FOURTH ST., ARCOLA, IL 61910
(217) 268-3022
Mailing address
131 WILSHIRE DR, TUSCOLA, IL 61953
(217) 372-1215
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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