Individual
LOUISE LEAR GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
483 CLERMONT AVE, BROOKLYN, NY 11238-2253
(718) 643-3500
Mailing address
483 CLERMONT AVE, BROOKLYN, NY 11238-2253
(718) 643-3500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002608
NY
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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