Individual
MRS. CAROL R GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
25700 PONTIAC TRL, SOUTH LYON, MI 48178-8047
(248) 446-2801
(248) 446-2802
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010567
MI
Other
Enumeration date
08/22/2008
Last updated
03/28/2014
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