Most Relevant Information
Provider Data
| NPI Number: | 1003286105 |
| Provider Name: | KATHRYN GREEN OT R/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 0717371-1 |
Most Important Dates
| Enumeration Date: | 10/01/2015 |
| Last Updated: | 10/01/2015 |
Provider Practice Location
2 BIRCH AVE
SOUND BEACH
NY
117892534
Practice Location Phone/Fax
| Phone: | 6318211477 |
| Fax: |
Provider Mailing Location
2 BIRCH AVE
SOUND BEACH
NY
117892534
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |