Individual
MRS. CARLY JO GLAZIER-KERSAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
4225 E MCDOWELL RD APT 2093, PHOENIX, AZ 85008-7472
(949) 584-1626
Mailing address
4225 E MCDOWELL RD APT 2093, PHOENIX, AZ 85008-7472
(949) 584-1626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
AZ
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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