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Individual

MRS. ELIZABETH REBECCA GLENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Mailing address
1850 YOSEMITE AVE APT 102, SIMI VALLEY, CA 93063-4218
(805) 636-9637

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3656
CA

Other

Enumeration date
07/27/2015
Last updated
06/08/2020
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