Individual
ALISSA LYNN GLEZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
354 MAIN ST, FOREST CITY, PA 18421-1418
(570) 785-2018
(570) 785-3575
Mailing address
354 MAIN ST, FOREST CITY, PA 18421-1418
(570) 785-2018
(570) 785-3575
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC013432
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003328901
HIGHMARK
—
05
—
103053753
—
PA
Enumeration date
11/04/2015
Last updated
01/08/2016
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