NPI age
3 years
Enumerated 2023-02-13
● Active
Type 1 · Individual
Elizabeth Ann Gluck
Gluck is 1 of 2 occupational therapy assistant providers in Lagrange and 1 of 565 in Georgia.
Primary specialty
Occupational Therapy Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-02-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 565 active occupational therapy assistant providers in Georgia.
NPI age
3 years
↓ 5 yr below median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-02Enumerated in NPPES
2023
2026
Where they practice
Practice location
250 Hills And Dales Farm Rd
Lagrange, GA 302403805
Mailing address
202 N View Pointe Dr
Lagrange, GA 302419194
Specialties
-
Occupational Therapy Assistant PrimaryAn occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 4500 | GA LICENSE |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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