Individual
EUNICE MARTINA GLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
490 SPLIT OAK RD, ST AUGUSTINE, FL 32092-5447
(954) 445-5496
Mailing address
490 SPLIT OAK RD, ST AUGUSTINE, FL 32092-5447
(954) 445-5496
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT9637
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886274500
—
FL
01
—
OT9637
THERAPY LICENSE
FL
Enumeration date
08/31/2006
Last updated
03/11/2019
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