Individual
VIRGINIA LEE SIEVERS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
464 2ND STREET, SUITE 105, EXCELSIOR, MN 55331
(952) 401-4242
(952) 401-4285
Mailing address
464 2ND STREET, SUITE 105, EXCELSIOR, MN 55331
(952) 401-4242
(952) 401-4285
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104617
MN
225XP0200X
Pediatric Occupational Therapist
104617
MN
Other
Enumeration date
02/24/2010
Last updated
11/09/2016
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