Organization
ALLISON GREEN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON B GREEN OTR, CPT (OWNER)
(734) 545-0028
Entity
Organization
Contact information
Practice address
7656 BEEBALM CT, DEXTER, MI 48130-9336
(734) 545-0028
Mailing address
7656 BEEBALM CT, DEXTER, MI 48130-9336
(734) 545-0028
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
5201003689
MI
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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