Individual
MR. GLENN MAURICE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
857 EASTLAND AVE SE, WARREN, OH 44484-4507
(330) 766-7757
Mailing address
857 EASTLAND AVE SE, WARREN, OH 44484-4507
(330) 766-7757
Taxonomy
Speciality
Code
Description
License number
State
224ZR0403X
Driving and Community Mobility Occupational Therapy Assistant
Primary
RR293993
OH
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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