Individual
MRS. ALLISON NICOLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1515 JOHNSON FERRY RD, MARIETTA, GA 30062-6492
(770) 977-9457
Mailing address
3380 HICKORY CREST DR NW, MARIETTA, GA 30064-1176
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008304
GA
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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