Individual
LIZA MARIE GLECKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 NOLAN PKWY, ARCHBOLD, OH 43502-8404
(567) 444-4800
Mailing address
205 NOLAN PKWY, ARCHBOLD, OH 43502-8404
(567) 444-4800
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.005513
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4196449175
—
OH
Enumeration date
02/05/2014
Last updated
02/05/2014
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