Individual
KATHRYN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
25652 VIA VIENTO, MISSION VIEJO, CA 92691-5629
(949) 433-5337
Mailing address
25652 VIA VIENTO, MISSION VIEJO, CA 92691-5629
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14860
CA
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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