Individual
CASEY GLAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
507 N SPRING STREET, AVE, MO 65608-6560
(605) 661-7811
(417) 683-5450
Mailing address
3407 E COVEY LN, OZARK, MO 65721-6226
(605) 661-7811
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2018028204
MO
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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