Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 1884 | OH |
NPI | 1053719096 |
---|---|
Provider Name | Delores Glasgow |
First Address | Akron, OH 44313-6565 |
Second Address | Akron, OH 44313-6565 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2014 |
Last Update Date | 08/12/2014 |