MEDICARE: THE GLOVER GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist
2	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1710158910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE GLOVER GROUP

Provider Business Mailing Address
First Line	:	6507 JESTER BLVD
Second Line	:	BUILDING 3, SUITE 309
City	:	AUSTIN
State	:	TX
Zip	:	78750-8368
Country	:	US
Telephone Number	:	512-680-6782
Fax Number	:

Provider Business Practice Location Address
First Line	:	6507 JESTER BLVD
Second Line	:	BUILDING 3, SUITE 309
City	:	AUSTIN
State	:	TX
Zip	:	78750-8368
Country	:	US
Telephone Number	:	512-680-6782
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST/OWNER
Name	:	MRS. JENNIFER JO GLOVER
Credential	:	OTR
Telephone Number	:	512-680-6782

Provider Enumeration Date	:	03/14/2008
Last Update Date	:	03/14/2008

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Directions to “THE GLOVER GROUP ” Practice Location

Language	Start Address	Practice Location

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