Provider Demographics
NPI:1295992659
Name:GLOVIER, CAMILLA ANNE (OT/L)
Entity type:Individual
Prefix:
First Name:CAMILLA
Middle Name:ANNE
Last Name:GLOVIER
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W WILLIAMS ST
Mailing Address - Street 2:SUITE 346
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-0800
Mailing Address - Country:US
Mailing Address - Phone:919-448-6018
Mailing Address - Fax:855-264-2501
Practice Address - Street 1:501 W WILLIAMS ST
Practice Address - Street 2:SUITE 346
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-0800
Practice Address - Country:US
Practice Address - Phone:919-448-6018
Practice Address - Fax:855-264-2501
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004557225X00000X
NC7193225X00000X
CA9346225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist