Individual
LORAINE DELORES GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2422 E TYLER AVE #C, HARLINGEN, TX 78550
(956) 423-9171
(956) 423-7457
Mailing address
1217 W. HOUSTON AVE, MCALLEN, TX 78501-5012
(956) 631-9171
(956) 631-7566
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
117632
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3655615-01
—
TX
Enumeration date
05/03/2016
Last updated
12/15/2023
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