Individual
MISS LAURA L. GLAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
2601A DEMERE RD, ST SIMONS ISLAND, GA 31522-1614
(912) 634-9945
Mailing address
503 EAGLE BLVD, KINGSLAND, GA 31548-6568
(631) 901-2203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010173
GA
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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