Individual
JONATHAN GLAVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1221 BROAD ST, FUQUAY VARINA, NC 27526-3602
(919) 552-4580
Mailing address
105 BARNINGHAM CT, CARY, NC 27519-5505
(919) 744-7852
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15274
NC
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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