Individual provider · Type 1 NPI

Stacy Lynn Green

Occupational Therapy Assistant · Cambridge, MD

NPI number 1558777094 Active

Practice location

525 Glenburn Ave
Cambridge, MD 21613-1414

Call (410) 221-1400 Map

Mailing address

5278 White Deer Rd
Delmar, DE 19940-3075

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XA02129 (MD)
Occupational Therapy Assistant 224Z00000XU2-0001489 (DE)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1558777094

Stacy Lynn Green's National Provider Identifier is 1558777094, issued on Jul 4, 2014. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Cambridge, MD. The record was last updated on Jul 4, 2014.