Provider Demographics
NPI:1053719096
Name:GLASGOW, DELORES (OTR/L)
Entity type:Individual
Prefix:
First Name:DELORES
Middle Name:
Last Name:GLASGOW
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:GLASGOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1393 WESTVALE AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-6565
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1393 WESTVALE AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-6565
Practice Address - Country:US
Practice Address - Phone:330-873-3350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1884225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics