Madison Lee Green
Occupational Therapist, Physical Rehabilitation in Arcola, IL. Individual provider (NPI-1).
NPI number1477239366
StatusActive
Last updated in NPPESJun 26, 2023
Details
- NPI
- 1477239366
- Entity type
- Individual (NPI-1)
- Name
- Madison Lee Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2023
- Certification date
- Jun 25, 2023
- Last updated
- Jun 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0019X | Occupational Therapist, Physical Rehabilitation | – | – | Yes |
Practice location
422 East Fourth St.Arcola, IL 61910
Phone 217-268-3022
Mailing address
131 Wilshire DrTuscola, IL 61953
Phone 217-372-1215
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