Individual
ELAINE RENEE GLAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2010 GARFIELD AVE, SUITE 2, PARKERSBURG, WV 26101-2527
(304) 917-3649
(304) 917-3651
Mailing address
415 36TH ST, SUITE 100, PARKERSBURG, WV 26101-1005
(304) 917-3660
(304) 917-3674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001904
WV
225100000X
Physical Therapist
PT006172
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152205
—
OH
05
—
1366817785
—
WV
Enumeration date
12/10/2015
Last updated
05/27/2016
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