Individual
MRS. NICOLE A GLINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S, COTA/L
Contact information
Practice address
390 E CONGRESS PKWY, CRYSTAL LAKE, IL 60014-6202
(815) 477-4788
Mailing address
322 BLOSSOM APT 303, LAKEMOOR, IL 60051-6508
(847) 571-0800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004442
IL
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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