Individual
BONNIE GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 US ROUTE 1, FRENCHVILLE, ME 04745
(207) 543-6648
Mailing address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3054
ME
Other
Enumeration date
04/23/2012
Last updated
07/26/2012
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