Individual
GLENN DITTMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4433 VESTAL PKWY E, VESTAL, NY 13850-3556
(607) 762-2176
Mailing address
33 LEWIS RD, FL 2, BINGHAMTON, NY 13905
(607) 770-0025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027376
NY
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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