Individual
SAMUEL C GLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(651) 254-3456
Mailing address
549 BRIANA LN, HUDSON, WI 54016-8161
(651) 214-0759
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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