Mary Tanna Green, COTA Valid NPI

Individual provider · Occupational Therapy Assistant · Waco, TX

NPI

1538033733

Type

Individual (Type 1)

Primary specialty

Occupational Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

224Z00000X

License number

216494 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2025-10-01

Last updated

2025-10-01