Individual
JORDAN GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 W 49TH ST, MIAMI BEACH, FL 33140-2603
(786) 376-2587
Mailing address
715 W 49TH ST, MIAMI BEACH, FL 33140-2603
(786) 376-2587
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24968
FL
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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