Individual
ELIZABETH EGGELING GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
222 STARCREST RD, CHARLOTTESVILLE, VA 22902-8242
(202) 415-4413
Mailing address
222 STARCREST RD, CHARLOTTESVILLE, VA 22902-8242
(202) 415-4413
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119003991
VA
225X00000X
Occupational Therapist
Primary
OT.0002973
CO
225X00000X
Occupational Therapist
OT010000203
DC
Other
Enumeration date
03/05/2008
Last updated
07/23/2023
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