Individual
MR. BRIAN CHARLES GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1513 S DIXIELAND RD, ROGERS, AR 72758-4935
(479) 636-5841
Mailing address
4106 CANDLEWOOD PL, ROGERS, AR 72758-8253
(479) 263-1268
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1586
AR
Other
Enumeration date
10/28/2012
Last updated
10/28/2012
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