Individual
QUANITEA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12400 PRESTON RD, DALLAS, TX 75230-1866
(972) 661-3111
Mailing address
1623 GARDEN DR, DALLAS, TX 75215-4516
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211528
TX
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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