Individual
MRS. SUZANNE STEPHANIE GLAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTRL, CHT
Contact information
Practice address
9 PINE CONE DR, SUITE 104-B, PALM COAST, FL 32137-8686
(386) 446-9716
(386) 446-0046
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT-3084
FL
225XH1200X
Hand Occupational Therapist
Primary
OT-3084
FL
Other
Enumeration date
02/06/2007
Last updated
07/25/2023
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