Individual
MR. GLENN L JOHLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1901 W LUGONIA AVE, SUITE 240, REDLANDS, CA 92374-9703
(909) 557-1600
Mailing address
2 TENNESSEE ST APT B, APT B, REDLANDS, CA 92373-4482
(909) 499-7899
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007046
GA
225XH1200X
Hand Occupational Therapist
OT11703
CA
Other
Enumeration date
02/01/2012
Last updated
08/21/2020
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