Individual
MS. KIERAN ANGELICA GLENBOCKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1640 REDSTONE CENTER DR, SUITE 200, PARK CITY, UT 84098-7605
(888) 800-8744
Mailing address
1640 REDSTONE CENTER DR, SUITE 200, PARK CITY, UT 84098-7605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1193483
TX
225100000X
Physical Therapist
Primary
PT017012
PA
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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