Provider Demographics
NPI:1083242812
Name:GLASBERG, SYLVIA KATHARINA (BIOFEEDBACK THERAPY)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:KATHARINA
Last Name:GLASBERG
Suffix:
Gender:F
Credentials:BIOFEEDBACK THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MAIN ST STE 303
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3985
Mailing Address - Country:US
Mailing Address - Phone:978-886-0209
Mailing Address - Fax:
Practice Address - Street 1:1 MAIN ST STE 303
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3985
Practice Address - Country:US
Practice Address - Phone:978-886-0209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-28
Last Update Date:2020-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA24662003225500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist