Individual
ELIZABETH ASHLEY GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5251 JOT EM DOWN RD, DANIELSVILLE, GA 30633-2037
(706) 302-5717
Mailing address
5251 JOT EM DOWN RD, DANIELSVILLE, GA 30633-2037
(706) 302-5717
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006261
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT006261
STATE LICENSE
GA
Enumeration date
09/18/2015
Last updated
09/18/2015
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