Individual
MRS. KIM P GLASSEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
601 NEW ROAD, LINWOOD, NJ 08221-1251
(609) 926-1161
(609) 926-3223
Mailing address
601 NEW ROAD, LINWOOD, NJ 08221-1251
(609) 926-1161
(609) 926-3223
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
40QB00018300
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
40QB00018300
NJ
225200000X
Physical Therapy Assistant
40QB00018300
NJ
Other
Enumeration date
04/19/2006
Last updated
09/11/2025
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