Individual
STACY ELIZABETH MCGLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT405
OK
225XH1200X
Hand Occupational Therapist
1031100248
OR
Other
Enumeration date
05/15/2006
Last updated
10/30/2021
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