Individual
JULIE LOUISE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLT, OTR/L
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
3934 UPTON AVE S, MINNEAPOLIS, MN 55410-1241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103409
MN
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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