Individual
MRS. JUDITH DENISE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6376 GRAY SEA WAY, COLUMBIA, MD 21045-7416
(410) 312-0404
Mailing address
6376 GRAY SEA WAY, COLUMBIA, MD 21045-7416
(410) 312-0404
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1842
MD
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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