Individual
LISA MICHELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 E 30TH ST, BALTIMORE, MD 21218-3934
(410) 889-0727
(410) 889-0729
Mailing address
416 E 30TH ST, BALTIMORE, MD 21218-3934
(410) 889-0727
(410) 889-0729
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24584
MD
Other
Enumeration date
11/05/2014
Last updated
07/20/2025
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