Individual
ANGELA MARIE GLAVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
755 ELA RD STE A, LAKE ZURICH, IL 60047-2412
(847) 320-0200
(847) 327-0857
Mailing address
755 ELA RD STE A, LAKE ZURICH, IL 60047-2412
(847) 320-0200
(847) 327-0857
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005982
IL
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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