Individual
TERRI GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1120 15TH ST # BA3635, AUGUSTA, GA 30912-0004
(803) 341-0589
Mailing address
1120 15TH ST # BA3635, AUGUSTA, GA 30912-0004
(803) 341-0589
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005368
GA
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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