Individual
MRS. JUDITH MARY GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
31 ELEANOR DR, SPRING CITY, PA 19475-9673
(610) 495-7486
Mailing address
31 ELEANOR DR, SPRING CITY, PA 19475-9673
(610) 495-7486
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC006907L
PA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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