Individual
MS. LISA GLICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8500 200TH ST SW, EDMONDS, WA 98026-6627
(425) 431-3059
Mailing address
8500 200TH ST SW, EDMONDS, WA 98026-6627
(425) 431-3059
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00001177
WA
Other
Enumeration date
09/28/2012
Last updated
10/15/2012
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