| NPI | 1356744320 |
|---|---|
| Former Name | REGAN GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 163200) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31005786A) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2017-04-27 |