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

Mr. Marvin Ira Green, COTA

Individual provider Occupational Therapy Assistant · NPI 1053467035

Mr. Marvin Ira Green, COTA is an Occupational Therapy Assistant in Twentynine Palms, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

5930 Adobe Rd
Twentynine Palms, CA 92277-2356
Phone: (760) 367-1743
Fax: (760) 367-1083
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA552 (CA)

Record details

NPI number1053467035
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedJanuary 25, 2007
Last updated in NPPESJuly 8, 2007

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