Individual
JACEE GLEBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1800 2ND LOOP RD STE 8, FLORENCE, SC 29501-6180
(843) 407-5236
Mailing address
4116 RODANTHE CIR, FLORENCE, SC 29501-8695
(785) 534-3704
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4844
SC
Other
Enumeration date
05/26/2015
Last updated
04/12/2022
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