Individual
GLENEISHA L EMIANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2293 CLUB LAKE DR, ORANGE PARK, FL 32065-2650
(317) 525-4133
(904) 770-5596
Mailing address
2293 CLUB LAKE DR, ORANGE PARK, FL 32065-2650
(317) 525-4133
(904) 770-5596
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
02/18/2026
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