Ellen Green

NPI #1164989620 in Irving, Texas

Provider Information

NPI Number: 1164989620
Entity Type: Individual
Name: Ellen Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Feb 20, 2019
Last Updated: Feb 20, 2019

Practice Location

Address: 7701 LAS COLINAS RIDGE SUITE 110,
City: Irving
State: Texas
ZIP Code: 75063
Phone: (214) 574-7848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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