Glezen, Alissa Lynn
Glezen, Alissa Lynn is an individual health care provider with primary practice located at 354 Main St , Forest City PA 18421-1418. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Glezen, Alissa Lynn can be contacted via phone (570) 785-2018.Contact Information
Primary practice address
354 Main St
Forest City PA 18421-1418
Phone: (570) 785-2018
Fax: (570) 785-3575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OC013432 | Pennsylvania |
Profile Details
| NPI number | 1700259405 |
|---|---|
| LBN Legal business name | Glezen, Alissa Lynn |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2015 |
| Last updated | Jan 8th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700259405 | NPPES |
| Pennsylvania | MEDICAID | 103053753 | |
| Pennsylvania | Other | 003328901 |
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