Individual
JESSE ELLEN GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9726 SAM FURR RD, HUNTERSVILLE, NC 28078-8218
(704) 863-4878
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19862
NC
Other
Enumeration date
11/09/2020
Last updated
07/15/2024
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