Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELY ANTHONY GREEN, OTA/L
ActiveELY ANTHONY GREEN, OTA/L is a Occupational Therapy Assistant healthcare provider located in JACKSON, Mississippi. NPI 1174716260 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · JACKSON, MS
Registration Details
- NPI Number
- 1174716260
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2007 (18.790229077568 yrs)
- Last Updated
- Aug 22, 2007
- License
-
TA1448 (MS)
Practice Information
- Address
-
13 NORTHTOWN DRSUITE 110JACKSON, MS, 392113047Browse MS providers · Browse ZIP 39211
- Phone
- 6012069195
- Fax
- 6019578391
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| MR. GREGORY ALLEN GARVIN | COTA | 1487851739 |
| DONNA FINLEY ROBINSON | COTA/L | 1831382225 |
| AMANDA M BENNETT | COTA/L | 1497948889 |
| MICHELLE MARIE GUTIERREZ | COTA | 1629261706 |
| KESHA K JENKINS | COTA/L | 1134312234 |
| DAWN OVERTON GARRARD | OTA/L | 1841483948 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.