Individual
GREGORY GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
235 BLUE POINT AVE, # A, BLUE POINT, NY 11715-1261
(631) 363-5794
Mailing address
80 WATERGATE LN, PATCHOGUE, NY 11772-3433
(228) 224-3966
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019204
NY
Other
Enumeration date
04/19/2015
Last updated
04/19/2015
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