Individual
LAUREN GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 ERIN BROOKE DR, VALRICO, FL 33594-4056
(214) 442-4210
(866) 534-5697
Mailing address
1711 ERIN BROOKE DR, VALRICO, FL 33594-4056
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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