Ely Anthony Green in Jackson - Occupational Therapy Assistant
Ely Anthony Green - NPI 1174716260
Ely Anthony Green is a Occupational Therapy Assistant in Jackson, Mississippi. Ely Anthony Green practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Ely Anthony Green is 1174716260. The last update date is 2007-08-22.
Ely Anthony Green's current location address is 13 Northtown Dr, Jackson, Mississippi. You can contact this provider via phone number 6012069195 and fax number 6019578391. The mailing address for Ely Anthony Green is 13 Northtown Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ely Anthony Green |
|---|---|
| Address | 13 Northtown Dr, Jackson, Mississippi |
| Phone Number | 6012069195 |
| Fax Number | 6019578391 |
| Sole Proprietor | N |
| Credentials | OTA/L |
NPI Number Detail
| NPI Number | 1174716260 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2007-08-22 |
Provider Mailing Address Detail
| Address | 13 Northtown Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392113047 |
| Phone Number | 6012069195 |
| Fax Number | 6019578391 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | TA1448 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ely Anthony Green by the Centers for Medicare & Medicaid Services?
The Ely Anthony Green has been issued the NPI (National Provider Identifier) 1174716260 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Ely Anthony Green is physically located?
The Ely Anthony Green is physically situated at the following address: 13 Northtown Dr, Jackson, MS, 392113047.
What is Ely Anthony Green's area of expertise and its corresponding taxonomy classification?
The Ely Anthony Green's field of specialization is Occupational Therapy Assistant, and it falls under the taxonomy code 224Z00000X, which categorizes healthcare providers based on their areas of practice.
When was the Ely Anthony Green's 1174716260 issued?
The Ely Anthony Green's 1174716260 was issued on 2007-08-22.
When was the information pertaining to Ely Anthony Green most recently updated or revised?
The details related to Ely Anthony Green, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY