Individual
MRS. RACHEL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1807 SCHEUBER ST, MARSHALL, TX 75670-4951
(903) 736-8885
Mailing address
1807 SCHEUBER ST, MARSHALL, TX 75670-4951
(903) 736-8885
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224Z00000X
—
TX
Enumeration date
09/09/2019
Last updated
09/09/2019
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