Individual
SARA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
17 ROSE PARK CRES, LAKEWOOD, NJ 08701-4867
(732) 886-3141
Mailing address
17 ROSE PARK CRES, LAKEWOOD, NJ 08701-4867
(732) 886-3141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00761500
NJ
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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