Individual
MRS. RENEE ANN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
19406 TOMS HOLLOW RD SW, RAWLINGS, MD 21557-1508
(301) 876-7446
Mailing address
19406 TOMS HOLLOW RD SW, RAWLINGS, MD 21557-1508
(301) 876-7446
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1846
WV
224Z00000X
Occupational Therapy Assistant
Primary
A01974
MD
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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