Individual
MRS. JULIE A GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
103 BROWNS FARM DR, KINGSTON, RI 02881-1739
(401) 789-0543
Mailing address
103 BROWNS FARM DR, KINGSTON, RI 02881-1739
(401) 789-0543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01496
RI
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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