Individual
MISTY S GLASGOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
989 FLINT HILL RD, CALEDONIA, MS 39740-9026
(662) 356-0212
(662) 257-9680
Mailing address
989 FLINT HILL RD, CALEDONIA, MS 39740-9026
(662) 356-0212
(662) 257-9680
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1460
MS
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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