Individual
KRISTIN E GLISCZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1541 DIAMOND DR, CASPER, WY 82601-6247
(307) 258-9426
Mailing address
1541 DIAMOND DR, CASPER, WY 82601-6247
(307) 258-9426
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT-1712
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245437599
—
WY
05
—
1558553339
—
WY
Enumeration date
06/11/2017
Last updated
01/16/2020
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