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Individual

HOLLY GLOWACKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 BYRON RD, HOWELL, MI 48855-6772
(517) 552-9323
Mailing address
8762 MCCLEMENTS RD, BRIGHTON, MI 48114-8724
(248) 343-9419

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5201008996
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5201008996
OCCUPATIONAL THERAPY LICENSE
MI
Enumeration date
06/15/2015
Last updated
06/15/2015
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