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NPI Code Detail

MEDICARE: MRS. DANIELLE DUPREE GREEN OT

MEDICARE: MRS. DANIELLE DUPREE GREEN OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2225X00000XOccupational Therapist4854SC

General Provider Information

NPI Number : 1912459355
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANIELLE DUPREE GREEN OT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-702-4389
Fax Number :
Provider Business Practice Location Address
First Line : 130 FORUM DR STE 13
Second Line :
City : COLUMBIA
State : SC
Zip : 29229-7943
Country : US
Telephone Number : 803-509-6880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2016
Last Update Date : 12/15/2025

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Directions to “ MRS. DANIELLE DUPREE GREEN OT” Practice Location

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