Individual
MISS CHARLA KAY GLAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
230 SW 3RD AVE, OCALA, FL 34471-1126
(352) 620-8414
Mailing address
230 SW 3RD AVE, OCALA, FL 34471-1126
(352) 620-8414
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA55659
FL
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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