Green, Mattie Elyse

Green, Mattie Elyse is an sole proprietor health care provider with primary practice located at 701 N Walton Blvd , Bentonville AR 72712-4548. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Green, Mattie Elyse can be contacted via phone (479) 250-9838.

Contact Information

Primary practice address
701 N Walton Blvd Bentonville AR 72712-4548
Phone: (479) 250-9838
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OT-A1462 Arkansas

Profile Details

NPI number 1629668801
LBN Legal business name Green, Mattie Elyse
Credentials COTA,L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2021
Last updated Jan 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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