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Individual

JENNIFER LAUREN GLICKSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
490 HIGHWAY 96 W, SHOREVIEW, MN 55126-1960
(651) 451-3016
Mailing address
490 HIGHWAY 96 W, SHOREVIEW, MN 55126-1960

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202132
MN

Other

Enumeration date
09/27/2017
Last updated
09/27/2017
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