Provider Demographics
NPI:1043847106
Name:MCGLINN, ALYSSA ELIZABETH (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:ELIZABETH
Last Name:MCGLINN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 HENRY AVE
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-4111
Mailing Address - Country:US
Mailing Address - Phone:609-713-6715
Mailing Address - Fax:
Practice Address - Street 1:61 HENRY AVE
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-4111
Practice Address - Country:US
Practice Address - Phone:609-713-6715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC016021225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist