Individual
TAMMY L GLOWACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7858 SHRADER RD, HENRICO, VA 23294-4222
(804) 527-6835
(804) 273-9294
Mailing address
1115 BOULDERS PKWY, STE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002032
VA
Other
Enumeration date
01/14/2016
Last updated
07/01/2016
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