IndividualActive
Casey Glazier, COTA/L
NPI 1306619333 · Occupational Therapy Assistant · Ave, MO
Provider details
- NPI number
- 1306619333
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2018028204 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
507 N Spring Street
Ave, MO 65608-6560
Phone: (605) 661-7811
Fax: (417) 683-5450
Approximate (ZIP-level) locationGet directions
Mailing address
3407 E Covey Ln
Ozark, MO 65721-6226
Registry dates
- Enumerated
- 2023-11-01
- Last updated
- 2023-11-01
- Certified
- 2023-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.