Individual
GLENN MARK LIBMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12449 83RD PL NE, KIRKLAND, WA 98034-2570
(425) 820-2810
Mailing address
12449 83RD PL NE, KIRKLAND, WA 98034-2570
(425) 820-2810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7490
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7490
PHYSICAL THERAPY LICENSE
WA
Enumeration date
12/26/2006
Last updated
07/08/2007
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