Individual
CARRIE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
94 MAIN ST, GORHAM, ME 04038-1340
(207) 839-5860
(207) 839-2499
Mailing address
7205 ESTERO BLVD, UNIT 5, FORT MYERS BEACH, FL 33931-4786
(239) 314-5118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT31055
FL
Other
Enumeration date
06/28/2013
Last updated
03/15/2016
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