MRS. Jessie Lee Green, OTR/L

NPI #1134479702 in Conway, Arkansas

Provider Information

NPI Number: 1134479702
Entity Type: Individual
Name: MRS. Jessie Lee Green, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Sep 11, 2012
Last Updated: Sep 11, 2012

Practice Location

Address: 20 FOX TROT DR
City: Conway
State: Arkansas
ZIP Code: 72032-8505
Phone: (479) 518-3718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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