Individual
MR. GLEN SCOTT REITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
340 PLAZA RD, KINGSTON, NY 12401-2975
(845) 339-4722
(845) 339-5730
Mailing address
3 FIR ST, RED HOOK, NY 12571-1136
(845) 758-3201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005122-1
NY
Other
Enumeration date
05/13/2006
Last updated
01/26/2012
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