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Contact Information

AMBROSE GREEN JR, MOT
35431 AVALON
ROMULUS, MI48174
 Phone: 734-262-4576
 Fax: 734-721-7009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AMBROSE GREEN JR · (Male)

NPI Number 1689901803
Status Active
Credentials MOT
Entity Individual
Enumeration date 11/09/2009
Last updated 11/09/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 2776
  • MI License # 5201007262
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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