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Provider Information for 1033350475

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DANETTE L GREEN OTR/L

Gender: FEMALE

Individual NPI: 1033350475

Calendar   Last Updated:  2011-12-08
  Certification Date: 

Details

Name Value
NPI 1033350475
Enumeration Date 2009-03-16
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 29 1ST AVE
FRANKLINVILLE, NY 14737-1318
United States

Phone: 716-560-8747 | Fax:
View Map External Link
Primary Practice Address 29 1ST AVE
FRANKLINVILLE, NY 14737-1318
United States

Phone: 716-560-8747 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 225X00000X - Occupational Therapist NY 008208-1