Individual
DR. GLENN R. DADDARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, DPT
Contact information
Practice address
607 NORTH AVE, DOOR 16, 1ST FLOOR, WAKEFIELD, MA 01880-1322
(781) 587-0776
(781) 587-0794
Mailing address
10 BAYBERRY RD, DANVERS, MA 01923-1536
(781) 367-4933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16559
MA
Other
Enumeration date
05/14/2007
Last updated
06/19/2012
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