Individual
EMMA KAITLYN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3699
(623) 445-5000
Mailing address
806 E POTTER DR, PHOENIX, AZ 85024-4161
(623) 694-7554
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-009958
AZ
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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