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Individual

PATRICIA D GLENN

Active
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Individual

PATRICIA D GLENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.P., L.M.T.

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
11906
OR
172M00000X
Mechanotherapist
MA00009884
WA
225700000X
Massage Therapist
11906
OR
225700000X
Massage Therapist
Primary
MA00009884
WA

Other

Enumeration date
01/05/2007
Last updated
03/17/2011
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