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Individual

ALEXA RAE-NIKKOL GLAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
10263 CHICAGO DR, ZEELAND, MI 49464-1416
(616) 741-9320
Mailing address
10263 CHICAGO DR, ZEELAND, MI 49464-1416
(616) 741-9320

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202010111
MI

Other

Enumeration date
07/24/2023
Last updated
07/24/2023
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