Individual
MRS. MEGAN ELISE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 NEWRY ST, HOLLIDAYSBURG, PA 16648-1626
(877) 787-3430
Mailing address
724 PERSHING ST, ROARING SPRING, PA 16673-1122
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009862
PA
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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