Individual
EMILY K GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3385 DEXTER CT, SUITE 203, DAVENPORT, IA 52807-3471
(563) 332-9312
(563) 332-9316
Mailing address
6146 DODDS DR, BETTENDORF, IA 52722-6545
(563) 332-0626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04018
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04018
IOWA PT LICENSE NUMBER
IA
05
—
0565937
—
IA
01
—
1245373166
GROUP NPI NUMBER
IL
Enumeration date
03/13/2007
Last updated
07/09/2007
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