Individual
TIFFINY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
323 BLACK RIVER AVE, WESTBY, WI 54667-1127
(608) 634-6950
Mailing address
323 BLACK RIVER AVE, WESTBY, WI 54667-1127
(608) 634-6950
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
104239
MN
225X00000X
Occupational Therapist
Primary
5164-26
WI
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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