Individual
CARLEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
Mailing address
5530 SOUTHERN MIST DR APT F, INDIANAPOLIS, IN 46237-7377
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006028A
IN
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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