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Individual

JONATHAN GLOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
15650 N 19TH AVE UNIT 1197, PHOENIX, AZ 85023-4354
(530) 917-5576
Mailing address
15650 N 19TH AVE UNIT 1197, PHOENIX, AZ 85023-4354
(530) 917-5576

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15178
CA

Other

Enumeration date
09/15/2016
Last updated
09/15/2016
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