MATTIE GREEN, COTA,L
Occupational Therapy Assistant
Active
Individual
NPI: 1629668801
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes | OT-A1462 (AR) |
Frequently Asked Questions
NPI 1629668801 is the National Provider Identifier for MATTIE GREEN, COTA,L, a Occupational Therapy Assistant provider located in Bentonville, AR. This NPI was enumerated on January 21, 2021.
MATTIE GREEN, COTA,L practices at 701 N WALTON BLVD, Bentonville, AR 72712.
Quick Facts
- NPI
- 1629668801
- Type
- Individual
- Enumerated
- Jan 21, 2021
- Last Updated
- Jan 21, 2021
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