Individual
MAYA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
6257 GOLDEN COIN CT, COLUMBIA, MD 21045-4450
(918) 576-4522
Mailing address
6257 GOLDEN COIN CT, COLUMBIA, MD 21045-4450
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06761
MD
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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