Individual
CHANELLE GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
484 RIVERSIDE AVE, JACKSONVILLE, FL 32202-4912
(904) 739-0877
Mailing address
2018 OAKTON CT, JACKSONVILLE, FL 32218-8856
(904) 238-7564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT24498
FL
Other
Enumeration date
08/30/2023
Last updated
05/13/2024
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