Individual
VICKIE M. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
27450 SCHOENHERR RD, SUITE 100A, WARREN, MI 48088-6683
(586) 582-7825
Mailing address
27450 SCHOENHERR RD, SUITE 100A, WARREN, MI 48088-6683
(586) 582-7825
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
5201001712
MI
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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