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

DESTINEE SIMONE GREEN, PTA

Active

DESTINEE SIMONE GREEN, PTA is a Occupational Therapist healthcare provider located in DETROIT, Michigan. NPI 1457151706 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · DETROIT, MI

Registration Details

NPI Number
1457151706
Provider Type
Individual
Gender
Female
NPI Issued
Mar 17, 2025 (1.452352683583 yrs)
Last Updated
Mar 17, 2025
License
5502008400 (MI)

Practice Information

Address
4646 JOHN R ST
DETROIT, MI, 482011916
Browse MI providers · Browse ZIP 48201
Phone
3135761000
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in DETROIT, MI

Name Credential NPI
MISS ANESHA AMOR ROUSE 1033275441
MR. MICHAEL J MARTINKO PTA 1093872350
REBECCA ANN MAUL PTA 1992843775
ANGEL MARIE VANCE P.T.A 1215139050
MRS. SONYA ANN MANTAS 1619103421
MR. WILLIAM PATRICK SHELBOURNE 1730471798
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.