Jacquelyn Carol Glenn, OTR is a
Occupational Therapist based in Hesperia, California. Jacquelyn Carol Glenn is licensed to practice in California (license number OT 7391) and her current practice location is
17440 La Junta St, Hesperia, California. She can be reached at her office (for appointments etc.) via phone at
(760) 244-0425.
NPI number for Jacquelyn Carol Glenn is 1265692107 and her current mailing address is Po Box 400447, Hesperia, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265692107.
Healthcare Provider's Profile
Full Name | Jacquelyn Carol Glenn |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 17440 La Junta St, Hesperia, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265692107
- Provider Enumeration Date: 06/13/2008
- Last Update Date: 06/13/2008
Medical Identifiers
Medical identifiers for Jacquelyn Carol Glenn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265692107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OT 7391 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelyn Carol Glenn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacquelyn Carol Glenn, OTR Po Box 400447, Hesperia, CA 92340-0447 Ph: (760) 244-0425 | Jacquelyn Carol Glenn, OTR 17440 La Junta St, Hesperia, CA 92345-7231 Ph: (760) 244-0425 |
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