Individual
ALEXIS NICOLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7355 E FURNACE BRANCH RD, GLEN BURNIE, MD 21060-7060
(410) 766-3460
Mailing address
7866 AMERICANA CIR APT 204, GLEN BURNIE, MD 21060-5445
(443) 859-4318
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/01/2019
Last updated
09/01/2019
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