Individual
MRS. EMILY MARIE GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10333 E JUANITA AVE, MESA, AZ 85209-7740
(480) 295-1655
Mailing address
10333 E JUANITA AVE, MESA, AZ 85209-7740
(480) 295-1655
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5412
AZ
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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