Individual provider · Type 1 NPI

Kimberly Cannon Green, OTR/C

Occupational Therapist · Manlius, NY

NPI number 1881702280 Active

Practice location

102 West Sencea St, Suite 206
Manlius, NY 13104

Fax (315) 682-2715

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X006484 (NY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1881702280

Kimberly Cannon Green, OTR/C's National Provider Identifier is 1881702280, issued on Aug 26, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Manlius, NY. The record was last updated on Jul 8, 2007.