Individual
MRS. TRACI LYN GLANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
192 TILLEY DR, SOUTH BURLINGTON, VT 05403-4440
(802) 847-7910
Mailing address
21 COOPER DR, JERICHO, VT 05465-3106
(802) 242-9009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003696
VT
Other
Enumeration date
09/15/2006
Last updated
09/26/2017
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