Individual
ALISHA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7045 EVERGREEN WOODS TRL, SPRING HILL, FL 34608-1306
(352) 596-8371
Mailing address
6219 LANGSTON AVE, NEW PORT RICHEY, FL 34653-1023
(727) 597-2047
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17286
FL
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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