Ely Anthony Green, OTA/L

Occupational Therapy Assistant · Jackson, MS

Individual Active NPI

NPI number 1174716260

Practice location

13 Northtown Dr
Suite 110
Jackson, MS 39211-3047
Phone
(601) 206-9195
Fax
(601) 957-8391

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NPI record

NPI
1174716260
Entity type
Individual (Type 1)
Enumeration date
August 22, 2007
Last updated
August 22, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X TA1448 MS

About Ely Green

Ely Anthony Green, OTA/L is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 13 Northtown Dr, Suite 110, Jackson, MS 39211-3047. The NPI number 1174716260 was assigned on August 22, 2007 and the record was last updated on August 22, 2007.

Ely Green lists a license in the registry: #TA1448 (MS) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ely Anthony Green, OTA/L?

The NPI number is 1174716260.

What is the phone number of Ely Green?

The phone number listed for the practice location is (601) 206-9195.

Where is Ely Green located?

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

What is the taxonomy code for Ely Green?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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