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Individual

JULIE ANN GLEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
101 HODENCAMP RD, STE 100, THOUSAND OAKS, CA 91360-5831
(805) 495-0516
Mailing address
101 HODENCAMP RD, STE 100, THOUSAND OAKS, CA 91360-5831
(805) 495-0516

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1047
CA

Other

Enumeration date
06/15/2005
Last updated
07/08/2007
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