Individual
GLENN LOFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/CLT/CKTP
Contact information
Practice address
53880 CARMICHAEL DR, SOUTH BEND, IN 46635-1567
(574) 247-9441
Mailing address
53880 CARMICHAEL DR, SOUTH BEND, IN 46635-1567
(574) 247-9441
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001503A
IN
Other
Enumeration date
08/07/2011
Last updated
08/24/2011
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