Individual
JODI LYNN GLASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
901 DIVISION ST NW, MANDAN, ND 58554-1641
(701) 751-6500
Mailing address
1003 20TH ST SE, MANDAN, ND 58554-5009
(701) 527-8732
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
754
ND
225X00000X
Occupational Therapist
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54611
—
ND
Enumeration date
01/22/2007
Last updated
01/25/2021
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