Individual
ALLISON MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2580 E JOYCE BLVD STE 12, FAYETTEVILLE, AR 72703-3924
(479) 521-7337
(479) 521-7338
Mailing address
2580 E JOYCE BLVD STE 12, FAYETTEVILLE, AR 72703-3924
(479) 521-7337
(479) 521-7338
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3607
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR3607
AR STATE MEDICAL BOARD
AR
Enumeration date
11/24/2021
Last updated
11/24/2021
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