Individual
KERRY GLIDDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
826 74 1/2 AVE N, BROOKLYN PARK, MN 55444-2620
(612) 327-1672
Mailing address
826 74 1/2 AVE N, BROOKLYN PARK, MN 55444-2620
(612) 327-1672
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201256
MN
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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