Organization
GLYNN PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL EUGENE GLYNN PT (PRESIDENT/OWNER)
(781) 862-0200
Entity
Organization
Contact information
Practice address
76 BEDFORD ST STE 7, LEXINGTON, MA 02420-4640
(781) 862-0200
(781) 862-0600
Mailing address
76 BEDFORD ST STE 7, LEXINGTON, MA 02420-4640
(781) 862-0200
(781) 862-0600
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
11353
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S100276997
PTAN
—
Enumeration date
01/06/2016
Last updated
01/02/2022
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