Individual
JENNIFER J GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6507 JESTER BLVD, SUITE 309, AUSTIN, TX 78750-8368
(512) 680-6782
Mailing address
6105 CHESTNUT HOLW, AUSTIN, TX 78750-8201
(512) 680-6782
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108981
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108981
STATE BOARD
TX
01
—
8T4322
BCBS
TX
Enumeration date
09/20/2006
Last updated
02/20/2008
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