National Provider Identifier

Joan M Green, OTR/L

Joan M Green, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Geneva, NY and a listed phone number of (315) 787-4000.

NPI 1497389662Geneva, NYOccupational Therapist

Profile Overview

NPI
1497389662
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
February 26, 2020
Last Updated
February 26, 2020

Practice Location

  • 196 North St
  • Geneva, NY 14456-1651

Phone: (315) 787-4000

Mailing Address

  • 8957 E Bluff Dr
  • Penn Yan, NY 14527-9245

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1497389662
Entity Type
Individual
Last Name
Green
First Name
Joan
Middle Name
M
Credential
OTR/L
Mailing Street Address
8957 E Bluff Dr
Mailing City
Penn Yan
Mailing State
NY
Mailing ZIP Code
14527-9245
Mailing Country
US
Mailing Phone
(315) 536-7263
Practice Street Address
196 North St
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-1651
Practice Country
US
Practice Phone
(315) 787-4000
Enumeration Date
February 26, 2020
Last Updated
February 26, 2020
Sex
Female
Sole Proprietor
No
Certification Date
February 26, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)