Individual
LAURA EMILY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4440 CARVER WOODS DR, BLUE ASH, OH 45242-5529
(513) 791-5688
Mailing address
4440 CARVER WOODS DR, BLUE ASH, OH 45242-5529
(513) 791-5688
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007451
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT007451
OTPTAT LICENSE BOARD
OH
Enumeration date
01/12/2022
Last updated
01/12/2022
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