Individual
LISA MICHELLE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
320 BRIGHAM ST, PLAINWELL, MI 49080-1587
(269) 685-9805
Mailing address
65 2ND ST, PLAINWELL, MI 49080-9550
(734) 255-7056
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5201006690
MI
225XG0600X
Gerontology Occupational Therapist
—
—
Other
Enumeration date
07/29/2018
Last updated
10/24/2024
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