MR. Michael Scott Glade, OTR/L

NPI #1154332773 in Grants, New Mexico

Provider Information

NPI Number: 1154332773
Entity Type: Individual
Name: MR. Michael Scott Glade, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Aug 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 242 MOUNTAIN RD
City: Grants
State: New Mexico
ZIP Code: 87020-2602
Phone: (505) 876-6030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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