Individual
JENNA LEIGH GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
23000 MOAKLEY ST STE 102, LEONARDTOWN, MD 20650-2916
(301) 475-5555
Mailing address
23000 MOAKLEY ST STE 102, LEONARDTOWN, MD 20650-2916
(301) 475-5555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12600
NC
225100000X
Physical Therapist
Primary
28314
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212810
—
NC
Enumeration date
07/27/2009
Last updated
05/17/2022
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