Individual
MS. LAURIE ANNE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
42 HILLMAN AVE, GLEN ROCK, NJ 07452-3016
(201) 670-4985
Mailing address
42 HILLMAN AVE, GLEN ROCK, NJ 07452-3016
(201) 670-4985
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4OQB00266800
NJ
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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