STACEY GREEN

Occupational Therapist

Active Individual
NPI: 1962656207

Practice Address

1000 FORT JOHNSON ROAD
JAMES ISLAND CHARTER HIGH SCHOOL
Charleston, SC 29412

Phone: (843) 762-2754

Specialties

Specialty Code Primary License
Occupational Therapist 225X00000X Yes 1469 (SC)

Frequently Asked Questions

NPI 1962656207 is the National Provider Identifier for STACEY GREEN, a Occupational Therapist provider located in Charleston, SC. This NPI was enumerated on November 13, 2008.
STACEY GREEN practices at 1000 FORT JOHNSON ROAD, JAMES ISLAND CHARTER HIGH SCHOOL, Charleston, SC 29412.

Quick Facts

NPI
1962656207
Type
Individual
Enumerated
Nov 13, 2008
Last Updated
Aug 22, 2019

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