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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACY MICHELLE GREEN, PTA

Active Sole Proprietor

TRACY MICHELLE GREEN, PTA is a Occupational Therapist healthcare provider located in AMBER, Oklahoma. NPI 1285085696 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · AMBER, OK

Registration Details

NPI Number
1285085696
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2016 (10.098653948288 yrs)
Last Updated
Jun 27, 2016
License
568 (OK)
Sole Proprietor
Yes

Practice Information

Address
1521 COUNTY ROAD 1320
AMBER, OK, 730045525
Browse OK providers · Browse ZIP 73004
Phone
4055742721
Primary Specialty
Occupational Therapist
225200000X
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.