| NPI | 1558793331 |
|---|---|
| Former Name | HOLLY E. GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01557500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023007) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2015-09-24 |