Provider Demographics
NPI:1225404858
Name:GLASPY, DANA LATOYA
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:LATOYA
Last Name:GLASPY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 CENTRAL AVE # 1
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-2407
Mailing Address - Country:US
Mailing Address - Phone:973-673-4600
Mailing Address - Fax:
Practice Address - Street 1:331 CENTRAL AVE # 1
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-2407
Practice Address - Country:US
Practice Address - Phone:973-673-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJA6TA09088500224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant