Individual
JANE GLASER-GORMALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4568 HIGHLAND DR STE 140, SALT LAKE CITY, UT 84117-4234
(801) 557-6733
Mailing address
4568 HIGHLAND DR STE 140, SALT LAKE CITY, UT 84117-4234
(801) 557-6733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
271095-2401
UT
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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