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Individual

ALEXANDRA GLASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
675 3RD AVENUE, 5TH FLOOR, NEW YORK, NY 10017-5704
(212) 204-5190
Mailing address
675 3RD AVE FL 5, NEW YORK, NY 10017-5731

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021482
NY
225X00000X
Occupational Therapist
12175
MA

Other

Enumeration date
07/07/2017
Last updated
07/07/2017
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