Individual
DENISE GLUCHACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
863 HATHAWAY ROAD, NEW BEDFORD, MA 02740
(508) 996-6763
Mailing address
24 THOMAS RD, BERKLEY, MA 02779
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3343
MA
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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