Individual
LYNN MARIE TAYLOR GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
516 CAREW ST, SPRINGFIELD, MA 01104-2330
(413) 735-1363
Mailing address
123 ACADEMY DR, LONGMEADOW, MA 01106-2158
(317) 371-1215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22039
MA
2251P0200X
Pediatric Physical Therapist
PT24688
FL
Other
Enumeration date
01/13/2011
Last updated
07/14/2022
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