MRS. Alisha Renee Green, OTR L

NPI #1225072382 in Chandler, Arizona

Provider Information

NPI Number: 1225072382
Entity Type: Individual
Name: MRS. Alisha Renee Green, OTR L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: OTR L
Enumeration Date: Jun 16, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 5800 W IVANHOE ST
City: Chandler
State: Arizona
ZIP Code: 85226-1845
Phone: (480) 893-1045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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