Individual
KARISA GLASSMOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 WATER ST, ST AUGUSTINE, FL 32084-2887
(727) 364-4024
Mailing address
56 WATER ST, ST AUGUSTINE, FL 32084-2887
(727) 364-4024
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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