MR. Ambrose Green JR., MOT

NPI #1689901803 in Romulus, Michigan

Provider Information

NPI Number: 1689901803
Entity Type: Individual
Name: MR. Ambrose Green JR., MOT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: MOT
Enumeration Date: Nov 9, 2009
Last Updated: Nov 9, 2009

Practice Location

Address: 35431 AVALON
City: Romulus
State: Michigan
ZIP Code: 48174
Phone: (734) 262-4576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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