Individual
HADIYA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3432 EADS ST. NE, WASHINGTON, DC 20019
(646) 872-0931
Mailing address
3432 EADS ST. NE, WASHINGTON, DC 20019
(646) 872-0931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008192
CT
225100000X
Physical Therapist
026320
NY
225100000X
Physical Therapist
Primary
9238
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
02/29/2008
Last updated
06/27/2023
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