Individual
ALAYNE F GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
740 WILLIAMS ST, PITTSFIELD, MA 01201-7463
(413) 447-8070
(413) 445-4918
Mailing address
PO BOX 121, OLD CHATHAM, NY 12136-0121
(518) 794-9841
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05120
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0393223
—
MA
01
—
10078469
CDPHP
MA
01
—
435802
MVP
MA
01
—
GLY65410
BCBS OF MASSACHUSETTS
MA
Enumeration date
12/20/2005
Last updated
07/08/2007
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