Individual
ALISON GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4892
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5144
ME
Other
Enumeration date
03/21/2011
Last updated
03/17/2022
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