Individual
MS. ANN MARIE GLAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
706 BRATLEY DR, WASHBURN, WI 54891-1143
(715) 373-5621
(715) 373-5244
Mailing address
706 BRATLEY DR, WASHBURN, WI 54891-1143
(715) 373-5621
(715) 373-5244
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3669-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40152300
—
WI
Enumeration date
12/15/2006
Last updated
07/08/2007
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