Individual
ALICE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2445 3RD AVE S, SEATTLE, WA 98134-1923
(206) 252-0853
Mailing address
2445 3RD AVE S, SEATTLE, WA 98134-1923
(206) 252-0853
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 00003029
WA
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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