Individual
GLENDA MCMILLEN HASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
960 E STATE ST, CASSOPOLIS, MI 49031-9339
(269) 445-2451
(269) 445-3216
Mailing address
960 E STATE ST, CASSOPOLIS, MI 49031-9339
(269) 445-2451
(269) 445-3216
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000333
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
774349006
—
MI
Enumeration date
06/02/2008
Last updated
06/02/2008
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