ELY ANTHONY GREEN, OTA/L

NPI: 1174716260 · Individual · Active

Primary Specialty

Occupational Therapy Assistant

Practice Location

13 NORTHTOWN DR
SUITE 110
JACKSON, MS 39211-3047 Map ↗
Phone: 601-206-9195
Fax: 601-957-8391

All Specialties & Licenses

  • Occupational Therapy Assistant Primary (license: TA1448, MS)

NPI Registration

Enumerated: 2007-08-22

Last CMS Update: 2007-08-22