Individual provider · Type 1 NPI

Ely Anthony Green, OTA/L

Occupational Therapy Assistant · Jackson, MS

NPI number 1174716260 Active

Practice location

13 Northtown Dr, Suite 110
Jackson, MS 39211-3047

Call (601) 206-9195 Map

Fax (601) 957-8391

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XTA1448 (MS)

Occupational Therapy Assistant: 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 a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1174716260

Ely Anthony Green, OTA/L's National Provider Identifier is 1174716260, issued on Aug 22, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Jackson, MS. The record was last updated on Aug 22, 2007.