Individual
LISA B GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9129 MONROE RD STE 105, CHARLOTTE, NC 28270-2454
(704) 847-3911
Mailing address
9129 MONROE RD STE 105, CHARLOTTE, NC 28270-2454
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2405
SC
224Z00000X
Occupational Therapy Assistant
Primary
4130
NC
Other
Enumeration date
05/31/2007
Last updated
04/09/2015
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