Individual
MS. CATHERINE GRACE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
7 TUC RD, 3A, WESTMINSTER, MD 21157-5086
(301) 602-0145
Mailing address
7 TUC RD, 3A, WESTMINSTER, MD 21157-5086
(301) 602-0145
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16748
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128319
MAMSI PROVIDER
MD
01
—
47610157
FEDERA; BC/BS
DC
01
—
52865902
FEDERAL BC/BS
MD
Enumeration date
09/21/2006
Last updated
01/08/2013
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