Individual
MRS. ROHAUN SMITH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ROT
Contact information
Practice address
1110 6TH AVE E, TUSCALOOSA, AL 35401-3207
(205) 759-1211
(205) 722-1009
Mailing address
PO BOX 2817, TUSCALOOSA, AL 35403-2817
(205) 759-1211
(205) 722-1009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2325
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51531482
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
09/14/2006
Last updated
07/09/2007
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