Individual
SAMANTHA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15850 CRABBS BRANCH WAY # 150, ROCKVILLE, MD 20855
(301) 869-7505
Mailing address
375 N VAN BUREN ST, ROCKVILLE, MD 20850-1873
(850) 974-2694
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08585
MD
225X00000X
Occupational Therapist
19063
FL
225X00000X
Occupational Therapist
5880
TN
Other
Enumeration date
03/07/2018
Last updated
07/15/2019
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