Provider Demographics
NPI:1043776362
Name:GLOVER, DANIELLE ANGELICA (COTA/L, BS)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:ANGELICA
Last Name:GLOVER
Suffix:
Gender:F
Credentials:COTA/L, BS
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Mailing Address - Street 1:9808 BERMUDA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-5333
Mailing Address - Country:US
Mailing Address - Phone:915-603-6387
Mailing Address - Fax:
Practice Address - Street 1:2150 TRAWOOD DR STE A270
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-3341
Practice Address - Country:US
Practice Address - Phone:915-333-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant