Individual
BETH LARRAINE GLADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
754 W PARK ST, HONESDALE, PA 18431-1433
(815) 584-6955
Mailing address
754 W PARK ST, HONESDALE, PA 18431-1433
(815) 584-6955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012680
PA
Other
Enumeration date
07/17/2013
Last updated
08/28/2024
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