ELY ANTHONY GREEN, OTA/L
Occupational Therapy at Northtown Dr, Jackson, MS

License number
Mississippi TA1448
Category
Restorative Service Providers
Type
Occupational Therapy Assistant
Address
Address
13 Northtown Dr SUITE 110, Jackson, MS 39211
Phone
(601) 206-9195
(601) 957-8391 (Fax)
National Provider ID: 1174716260
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

See more information about ELY ANTHONY GREEN at radaris.com
Name
Address
Phone
Ely A Green, age 48
302 Williams St, Petal, MS 39465
(601) 582-4124

Occupational Therapy licenses in Mississippi










Other Doctors licenses in Mississippi