Provider Demographics
NPI:1982800025
Name:GLENN, ANNMARIE (MS, OTR)
Entity Type:Individual
Prefix:MS
First Name:ANNMARIE
Middle Name:
Last Name:GLENN
Suffix:
Gender:F
Credentials:MS, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2236 N CYPRESS BEND DR APT 512
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-5613
Mailing Address - Country:US
Mailing Address - Phone:845-594-4478
Mailing Address - Fax:
Practice Address - Street 1:2236 N CYPRESS BEND DR APT 512
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-5613
Practice Address - Country:US
Practice Address - Phone:845-594-4478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010675-1225XP0200X
FLOT22251225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics