Individual
DANIELLE LEE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5750 E HIGHWAY 90 STE 100, SIERRA VISTA, AZ 85635-9112
(520) 263-3715
(520) 843-4589
Mailing address
1464 OCOTILLO DR, SIERRA VISTA, AZ 85635-1245
(863) 274-8063
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007880
AZ
Other
Enumeration date
04/08/2020
Last updated
08/07/2023
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