Individual
CAITLIN C GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD,OTR/L
Contact information
Practice address
1640 MARENGO ST, SUITE 500, LOS ANGELES, CA 90033-1036
(323) 442-3340
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-3340
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15775
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2014
Last updated
03/28/2017
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