Individual
CHERYL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3118 MARNAT RD, BALTIMORE, MD 21208-4503
(410) 415-3743
Mailing address
2501 BLACKHAWK CIR, BALTIMORE, MD 21209-1503
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2013
Last updated
11/25/2024
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