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Individual

MRS. CHRISTY GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
10511 19TH AVE SE, SUITE B, EVERETT, WA 98208-4279
(425) 357-8885
(425) 357-8454
Mailing address
10505 19TH AVE SE, STE B, EVERETT, WA 98208-4280
(408) 570-0510
(408) 945-4018

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT00003879
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8476475
WA
Enumeration date
02/12/2007
Last updated
03/13/2013
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