Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ambrose Green Jr., MOT

Individual provider Occupational Therapist · NPI 1689901803

Mr. Ambrose Green Jr., MOT is an Occupational Therapist in Romulus, Michigan. Practices as a sole proprietor. Licensed in Alabama and Michigan.

Licensed in
AL, MI
In the registry since
2009
Specialties on file
2

Practice location Address checks out

35431 Avalon
Romulus, MI 48174
Phone: (734) 262-4576
Fax: (734) 721-7009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201007262 (MI)
Occupational Therapist Taxonomy 225X00000X · Licence 2776 (AL)

Record details

NPI number1689901803
Entity typeIndividual (Type 1)
GenderMale
Credentials MOT
Sole proprietorYes
NPI enumeratedNovember 9, 2009
Last updated in NPPESNovember 9, 2009

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