Individual
ROBERT ANDREW GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11208
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11208
STATE OF NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY
NC
Enumeration date
10/10/2017
Last updated
10/10/2017
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