Individual
MS. ALYSSA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(201) 803-3962
Mailing address
5268 BRIGHT DAWN COURT, COLUMBIA, MD 21045
(201) 803-3962
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07546
MD
Other
Enumeration date
01/05/2015
Last updated
11/30/2018
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