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General NPI Number Information
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NPI Number | 1760722136
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Entity Type | Individual
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Provider Name | KEVIN A GLASSBERG OTR/L
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Gender | Male
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Dates
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Enumeration Date | 02/22/2013
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 3030 WESTCHESTER AVE
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City | PURCHASE
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State | NY
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Zip | 10577-2574
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Country | US
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Telephone | 914-682-6435
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Fax | 914-681-3115
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Provider Business Mailing Address
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Address Line | 569 WHITE PLAINS RD
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City | EASTCHESTER
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State | NY
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Zip | 10709-5510
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Country | US
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Telephone | 914-772-1744
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 023429
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5263
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License Number State | CT
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