| NPI | 1639360514 |
|---|---|
| Former Name | RICIA RAE GLOCKZIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MN 201244) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MS 201244) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2011-12-15 |