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Individual

THOMAS GEORGE GLEASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1713 6TH AVE S, RM C483, BIRMINGHAM, AL 35246-0001
(205) 934-5113
(205) 996-4443
Mailing address
1713 6TH AVE S, RM C483, BIRMINGHAM, AL 35246-0001
(205) 934-5113
(205) 996-4443

Taxonomy

Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
3536
AL
225XP0019X
Physical Rehabilitation Occupational Therapist
3536
AL

Other

Enumeration date
01/08/2016
Last updated
01/08/2016
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