Individual
ELIZABETH L GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
420 N CENTER ST, HICKORY, NC 28601-5046
(828) 315-3712
Mailing address
430 8TH AVENUE DR NW, HICKORY, NC 28601-3626
Taxonomy
Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
2872
NC
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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