Glenmore Wiggan, OTR/L

NPI #1619371341 in Bronx, New York

Provider Information

NPI Number
1619371341
Entity Type
Individual
Name
Glenmore Wiggan, OTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Skilled Nursing Facility
Credential
OTR/L
Enumeration Date
Oct 9, 2014
Last Updated
Oct 9, 2014

Practice Location

Address
3322 LURTING AVE
City
Bronx
ZIP Code
10469-3712
Phone
(347) 231-9516

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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