Individual
MRS. DORA LINDA GLUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 REGENT DR, LAWRENCE, NY 11559-1432
(516) 239-1562
(718) 263-1156
Mailing address
8 REGENT DR, LAWRENCE, NY 11559-1432
(516) 239-1562
(718) 263-1156
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
001010-1
NY
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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