Ely Anthony Green, OTA/L
Ely Anthony Green, OTA/L is an Occupational Therapy Assistant in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.
- Licensed in
- MS
- In the registry since
- 2007
Practice location Address checks out
13 Northtown Dr Ste 110Jackson, MS 39211-3047
Phone: (601) 206-9195
Fax: (601) 957-8391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence TA1448 (MS) |
|---|
Record details
| NPI number | 1174716260 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OTA/L |
| Sole proprietor | No |
| NPI enumerated | August 22, 2007 |
| Last updated in NPPES | August 22, 2007 |
Other providers in Jackson
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Dawn Overton Garrard, OTA/L
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Mrs. Caitlyn Bankston Hutton, COTA
13 Northtown Dr Ste 110, Jackson, MS 39211-3047 · (601) 206-9195