Organization
PRECISION PHYSICAL THERAPY INC,.
Active
Other names
Jane Glaser-Gormally
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE GLASER-GORMALLY PT (PHYSICAL THERAPY PRACTICE OWNER PT)
(801) 557-6733
Entity
Organization
Contact information
Practice address
3098 S HIGHLAND DR STE 350F, SALT LAKE CITY, UT 84106-3085
(801) 557-6733
Mailing address
3098 S HIGHLAND DR STE 350F, SALT LAKE CITY, UT 84106-3085
(801) 557-6733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2710952401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000057378
MEDICARE ID
UT
05
—
505985917001
—
UT
Enumeration date
04/20/2006
Last updated
04/22/2015
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