Individual
CHARLOTTE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 GINGER DR, TALLAHASSEE, FL 32308
(850) 877-2177
Mailing address
3509 SUNNYSIDE DRIVE, TALLAHASSEE, FL 32305
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13642
FL
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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