Individual
JESSICA T GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
4801 SPRINGFIELD ST, DAYTON, OH 45431-1084
(937) 236-9965
Mailing address
200 S KEOWEE ST, DAYTON, OH 45402-2242
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT007762
OH
Other
Enumeration date
11/10/2017
Last updated
01/29/2025
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