Individual
MS. JENNIFER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4209 MTN.TERRACE, MEMPHIS, TN 38127
(901) 262-6834
Mailing address
4209 MTN.TERRACE, MEMPHIS, TN 38127
(901) 262-6834
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
1000000021968
TN
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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