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Individual

TRUDY ANNA GLOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
11850 9TH STREET NORTH, APT 20208, ST PETERSBURG, FL 33716
(727) 345-2775
Mailing address
11850 9TH ST N, APT 20208, SAINT PETERSBURG, FL 33716-1619
(904) 305-1912

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
08/02/2012
Last updated
05/07/2014
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