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Individual

JUSTINA GLUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
129 LINCOLN ST, GARDEN CITY, NY 11530-2339
(516) 352-2759
Mailing address
129 LINCOLN ST, GARDEN CITY, NY 11530-2339
(516) 352-2759

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8685
NY

Other

Enumeration date
08/23/2010
Last updated
08/23/2010
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