| Doctor Name: | ALLISON GREEN |
| NPI Number: | 1578838231 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 22106 |
| Business Practice Address: | 1778 Fountain Dr Reston, VA - 201903390 |
| Business Phone Number: | 5719269398 |
| Business Fax Number: | |
| Mailing Address: | 13140 Ashnut Ln, HERNDON |
| State: | VA |
| Postal Code: | 201714302 |
| Phone Number: | 7033900545 |
| Fax Number: | |
| NPI Enumeration Date: | 03/14/2012 |
| NPI Last Update Date: | 09/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 22106 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |