Individual provider · Type 1 NPI

Lisa Michaud Glenn, OTR

Occupational Therapist · South Bend, IN

NPI number 1760407332 Active

Practice location

53880 Carmichael Dr
South Bend, IN 46635-1567

Call (574) 247-9441 Map

Fax (574) 247-9442

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X31000545A (IN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1760407332

Lisa Michaud Glenn, OTR's National Provider Identifier is 1760407332, issued on Jul 13, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in South Bend, IN. The record was last updated on May 20, 2010.