Individual
MR. CATLIN JENE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT/L
Contact information
Practice address
12303 HIGHWAY 49, GULFPORT, MS 39503-2780
(228) 832-6221
(228) 832-4033
Mailing address
12303 HIGHWAY 49, GULFPORT, MS 39503-2780
(228) 832-6221
(228) 832-4033
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2648
MS
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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