Laurie Glover, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Swanton, OH

NPI 1184030561 · NPPES record last updated Aug 1, 2014

Key facts

NPI
1184030561
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
04124 (OH)
Practice address
401 W Airport Hwy
Swanton, OH 43558-1445
Phone
(419) 825-1111
NPI assigned
Jul 7, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
04124OHMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 04124 OH Yes

Addresses

Primary practice location

401 W Airport Hwy
Swanton, OH 43558-1445

Mailing address

200 Northpointe Cir
102
Seven Fields, PA 16046-7861
Phone (724) 831-5042

Other providers in Swanton, OH

All providers in Swanton, OH · Occupational Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.