Virginia Lee Sievers Green, OTD, OTR/L

NPI #1952623456 in Excelsior, Minnesota

Provider Information

NPI Number: 1952623456
Entity Type: Individual
Name: Virginia Lee Sievers Green, OTD, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTD, OTR/L
Enumeration Date: Feb 24, 2010
Last Updated: Nov 9, 2016

Practice Location

Address: 464 2ND STREET
Address 2: SUITE 105
City: Excelsior
State: Minnesota
ZIP Code: 55331
Phone: (952) 401-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X

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